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General NPI Number Information
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NPI Number | 1619034022
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Entity Type | Organization
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Legal Business Name | ST. FRANCIS HOSPITAL
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 112 N 17TH AVE SUITE 210
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City | BEECH GROVE
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State | IN
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Zip | 46107-1253
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Country | US
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Telephone | 317-782-7046
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Fax | 317-782-6922
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Provider Business Mailing Address
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Address Line | 1600 ALBANY ST. ATTN MEDICAL STAFF OFFICE ST. FRANCIS HOSPITAL
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City | BEECH GROVE
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State | IN
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Zip | 46107
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Country | US
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Telephone | 317-782-7046
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Fax | 317-782-6922
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | ALAN R GILLESPIE
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Credential | MD
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Telephone | 317-783-8137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 35-091357
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License Number State | IN
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