MEDICARE: ST. FRANCIS CENTER FOR BREAST HEALTH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2085B0100X	Body Imaging Physician
2	2085N0904X	Nuclear Radiology Physician
3	2085U0001X	Diagnostic Ultrasound Physician
4	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063646115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. FRANCIS CENTER FOR BREAST HEALTH, LLC

Provider Business Mailing Address
First Line	:	PO BOX 9145
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31908-9145
Country	:	US
Telephone Number	:	706-257-7700
Fax Number	:	706-257-7701

Provider Business Practice Location Address
First Line	:	2300 MANCHESTER EXPY
Second Line	:	STE A001
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6805
Country	:	US
Telephone Number	:	706-257-7700
Fax Number	:	706-257-7701

Authorized Official
Title or Position	:	CFO/SVP
Name	:	GREG S. HEMBREE
Credential	:
Telephone Number	:	706-320-3751

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	08/07/2015

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Directions to “ST. FRANCIS CENTER FOR BREAST HEALTH, LLC ” Practice Location

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