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General NPI Number Information
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NPI Number | 1770589178
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Entity Type | Organization
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Legal Business Name | ST FRANCIS PHYSICIAN SERVICES INC
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 304 ASHBY PARK LN
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City | GREENVILLE
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State | SC
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Zip | 29607-6903
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Country | US
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Telephone | 864-286-9050
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Fax | 864-286-6885
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Provider Business Mailing Address
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Address Line | 4600 MCAULEY PL STE 600
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City | BLUE ASH
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State | OH
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Zip | 45242-4778
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR PAYER DELEGATION
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Name | CASSIE LOWE
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Credential |
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Telephone | 513-952-5210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 8157
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License Number State | SC
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