=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568639474
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ST. FRANCIS HOSPITAL AND HEALTH CENTERS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/09/2008
-----------------------------------------------------
Last Update Date | 05/09/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 E SOUTHPORT RD
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46227-8546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-782-6650
-----------------------------------------------------
Fax | 317-782-7118
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5224 S EAST ST SUITE C-3
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46227-1990
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-780-3333
-----------------------------------------------------
Fax | 317-780-3345
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JOHN MURPHY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 317-781-3604
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------