Organization Active NPI

Franciscan St. Francis Health

Doing business as St. Francis Neighborhood Health Center at Garfield Park

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1184650889
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FRANCISCAN ST. FRANCIS HEALTH
Doing business as
St. Francis Neighborhood Health Center at Garfield Park
Practice address
234 East Southern Ave
Indianapolis, IN 46225-2121
Phone
(317) 781-9669
Fax
(317) 781-0470
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brad Joubert
Title
Director, Abo, Franciscan Alliance
Phone
(317) 528-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

234 East Southern Ave
Indianapolis, IN 46225-2121

Mailing address

1040 Sierra Drive
Suite 400
Greenwood, IN 46143-7241
Phone (317) 528-4800

Other identifiers 1

IdentifierTypeStateIssuer
200119050AMedicaidIN

Other names 1

  • St. Francis Neighborhood Health Center at Garfield Park Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1184650889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DRIVE",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437241",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 EAST SOUTHERN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462252121",
            "telephone_number": "317-781-9669",
            "fax_number": "317-781-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN ST. FRANCIS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "JOUBERT",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR, ABO, FRANCISCAN ALLIANCE",
        "authorized_official_telephone_number": "317-528-4800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119050A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Neighborhood Health Center at Garfield Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.