Organization Active NPI

St Francis Medical Center

Doing business as St Francis Healthcare Campus

  • Pharmacist
  • Breckenridge, MN
National Provider Identifier
1306970686
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
261077-3 Issued in MN
Legal business name
ST FRANCIS MEDICAL CENTER
Doing business as
St Francis Healthcare Campus
Practice address
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone
(218) 643-3000
Fax
(218) 643-0855
NPI assigned
Mar 16, 2007
Organization subpart
Yes
Parent organization
ST FRANCIS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Mrs. Nancy Whitney, CPA
Title
Cfo
Phone
(218) 643-0402

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 261077-3 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2400 St Francis Dr
Breckenridge, MN 56520-1025

Mailing address

2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-3000

Other identifiers 3

IdentifierTypeStateIssuer
644747300MedicaidMN
1556HFROtherMNBCBS PROVIDER NUMBER
01074MedicaidND

Other names 1

  • ST FRANCIS HEALTHCARE CAMPUS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Francis Home Health5 organizations share this tax ID, including this one
Part of
St Francis Home Health

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1306970686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-3000",
            "fax_number": "218-643-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-3000",
            "fax_number": "218-643-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS MEDICAL CENTER",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-643-0402",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "261077-3",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "644747300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "1556HFR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01074",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST FRANCIS HEALTHCARE CAMPUS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST FRANCIS HEALTHCARE CAMPUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breckenridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.