MEDICARE: FRANCISCAN ST. FRANCIS HEALTH

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	207Q00000X	Family Medicine 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

General Provider Information

NPI Number	:	1184650889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN ST. FRANCIS HEALTH

Provider Business Mailing Address
First Line	:	1040 SIERRA DRIVE
Second Line	:	SUITE 400
City	:	GREENWOOD
State	:	IN
Zip	:	46143-7241
Country	:	US
Telephone Number	:	317-528-4800
Fax Number	:	317-865-1479

Provider Business Practice Location Address
First Line	:	234 EAST SOUTHERN AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-2121
Country	:	US
Telephone Number	:	317-781-9669
Fax Number	:	317-781-0470

Authorized Official
Title or Position	:	DIRECTOR, ABO, FRANCISCAN ALLIANCE
Name	:	MR. BRAD JOUBERT
Credential	:
Telephone Number	:	317-528-4800

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	01/19/2016

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