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NPI Code Detail

MEDICARE: ST FRANCIS HOUSE NWA, INC

MEDICARE: ST FRANCIS HOUSE NWA, INC
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1336902311
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST FRANCIS HOUSE NWA, INC
Provider Business Mailing Address
First Line : 614 E EMMA AVE STE 300
Second Line :
City : SPRINGDALE
State : AR
Zip : 72764-4469
Country : US
Telephone Number : 479-751-4898
Fax Number : 479-751-4898
Provider Business Practice Location Address
First Line : 1261 E TULSA AVE
Second Line :
City : KANSAS
State : OK
Zip : 74347-7026
Country : US
Telephone Number : 918-868-2175
Fax Number : 918-868-2944
Authorized Official
Title or Position : CEO
Name : JAMES A SEMINGSON
Credential : CNP
Telephone Number : 479-751-7417
Provider Enumeration Date : 02/02/2024
Last Update Date : 02/02/2024

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Directions to “ST FRANCIS HOUSE NWA, INC ” Practice Location

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