Healthcare Provider Details

I. General information

NPI: 1275607749
Provider Name (Legal Business Name): ST. FRANCIS HEALTH CARE CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BROADWAY ST
GREEN SPRINGS OH
44836-9653
US

IV. Provider business mailing address

401 N BROADWAY ST
GREEN SPRINGS OH
44836-9653
US

V. Phone/Fax

Practice location:
  • Phone: 419-639-2626
  • Fax: 419-639-6241
Mailing address:
  • Phone: 419-639-2626
  • Fax: 419-639-6241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS C. MORRIS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 419-639-2626