MEDICARE: ST. FRANCIS MEDICAL CENTER

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	341600000X	Ambulance
2	282NC0060X	Critical Access Hospital	331017	MN

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	1556HFR	OTHER	MN	BCBS PROVIDER NUMBER
3	5017662	OTHER	MN	MEDICA PROVIDER NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2136	OTHER	MN	HEALTH PARTNERS PROV. #

General Provider Information

NPI Number	:	1639162381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. FRANCIS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	2400 ST. FRANCIS DRIVE
Second Line	:
City	:	BRECKENRIDGE
State	:	MN
Zip	:	56520
Country	:	US
Telephone Number	:	218-643-3000
Fax Number	:	218-643-0870

Provider Business Practice Location Address
First Line	:	2400 ST. FRANCIS DRIVE
Second Line	:
City	:	BRECKENRIDGE
State	:	MN
Zip	:	56520
Country	:	US
Telephone Number	:	218-643-3000
Fax Number	:	218-643-0870

Authorized Official
Title or Position	:	VP OF FINANCE OPERATION
Name	:	JAY PAUL ROSS
Credential	:
Telephone Number	:	218-616-3525

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	12/20/2023

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Directions to “ST. FRANCIS MEDICAL CENTER ” Practice Location

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