Saint Francis Medical Center
Organization Active NPI Clinic/Center · Charleston, MO
NPI 1346700028 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1346700028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- SAINT FRANCIS MEDICAL CENTER
- Practice address
- 112 W Commercial St
Charleston, MO 63834-1601 - Phone
- (573) 683-4010
- Fax
- (573) 683-2167
- NPI assigned
- Mar 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Justin Davison
- Title
- Cfo
- Phone
- (573) 331-3000
Other NPIs on the same Medicare enrollment 37
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040107000140 | MO | Part B Supplier - Clinic/Group Practice | 9931007929 |
Receives reassigned benefits from 615 practitioners 37 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Family Medicine Physician |
207Q00000X | |||
| Pediatrics Physician |
208000000X | |||
| Clinic/Center | 261Q00000X | Yes | ||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
112 W Commercial St
Charleston, MO 63834-1601
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-3000
Other names
- Saint Francis Clinic Charleston
Other providers in Charleston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.