Healthcare Provider Details

I. General information

NPI: 1881468965
Provider Name (Legal Business Name): SAINT FRANCIS FCT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 ALBION AVE
CINCINNATI OH
45246-4604
US

IV. Provider business mailing address

110 W OTIS AVE
SALINA KS
67401-8713
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-0541
  • Fax:
Mailing address:
  • Phone: 785-825-0541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SUSAN CHRISTENSON
Title or Position: PROVIDER ENROLLMENT SPECIALIST
Credential:
Phone: 979-492-2795