MEDICARE: FRANCISCAN COMMUNITY SERVICES, 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
1	251G00000X	Community Based Hospice Care Agency	07-008300-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07-008300-1	OTHER	IN	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518962018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN COMMUNITY SERVICES, INC.

Provider Business Mailing Address
First Line	:	203 FRANCISCAN DR
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-4802
Country	:	US
Telephone Number	:	219-661-5321
Fax Number	:	219-661-5305

Provider Business Practice Location Address
First Line	:	203 FRANCISCAN DR
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-4802
Country	:	US
Telephone Number	:	219-661-5321
Fax Number	:	219-661-5305

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. CATHERINE ANN COLTUN
Credential	:	REGISTERED NURSE
Telephone Number	:	219-661-5321

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	01/18/2013

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