MEDICARE: FRANCISCAN HEALTH AND WELLNESS SERVICES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	261QC1500X	Community Health Clinic/Center
3	261QH0100X	Health Service Clinic/Center
4	261QC1800X	Corporate Health Clinic/Center

General Provider Information

NPI Number	:	1811429285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANCISCAN HEALTH AND WELLNESS SERVICES, INC

Provider Business Mailing Address
First Line	:	4200 ESSEN LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2158
Country	:	US
Telephone Number	:	225-526-4249
Fax Number	:	225-765-9746

Provider Business Practice Location Address
First Line	:	4200 ESSEN LN
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2158
Country	:	US
Telephone Number	:	225-526-4249
Fax Number	:	225-765-9746

Authorized Official
Title or Position	:	DIRECTOR
Name	:	AMY P COPPOLA
Credential	:	RN
Telephone Number	:	225-526-4249

Provider Enumeration Date	:	04/03/2017
Last Update Date	:	04/03/2017

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