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General NPI Number Information
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NPI Number | 1639162381
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Entity Type | Organization
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Legal Business Name | ST. FRANCIS MEDICAL CENTER
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 2400 ST. FRANCIS DRIVE
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City | BRECKENRIDGE
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State | MN
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Zip | 56520
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Country | US
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Telephone | 218-643-3000
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Fax | 218-643-0870
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Provider Business Mailing Address
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Address Line | 2400 ST. FRANCIS DRIVE
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City | BRECKENRIDGE
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State | MN
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Zip | 56520
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Country | US
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Telephone | 218-643-3000
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Fax | 218-643-0870
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Authorized Official
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Title or Position | VP OF FINANCE OPERATION
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Name | JAY PAUL ROSS
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Credential |
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Telephone | 218-616-3525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 331017
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License Number State | MN
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