MEDICARE: ST. FRANCIS HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1033575378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. FRANCIS HEALTH, LLC

Provider Business Mailing Address
First Line	:	330 SEVEN SPRINGS WAY
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5098
Country	:	US
Telephone Number	:	615-920-7000
Fax Number	:	615-920-8913

Provider Business Practice Location Address
First Line	:	3744 WOODRUFF RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5601
Country	:	US
Telephone Number	:	706-324-2402
Fax Number	:	706-324-1667

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOHNETTA TRAYLOR
Credential	:
Telephone Number	:	502-596-6063

Provider Enumeration Date	:	12/31/2015
Last Update Date	:	05/06/2025

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