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St Francis Medical Center, Inc

Organization Active NPI Diagnostic Radiology Physician · Monroe, LA

NPI 1437149168 · NPPES record last updated Jul 24, 2007

Key facts

NPI
1437149168
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
157 (LA)
Legal business name
ST FRANCIS MEDICAL CENTER, INC
Practice address
309 Jackson St
Monroe, LA 71201-7407
Phone
(318) 327-4255
Fax
(318) 327-4764
NPI assigned
Oct 25, 2005
Organization subpart
Yes
Parent organization (as reported)
ST FRANCIS MEDICAL CENTER INC

Authorized official

Name
Mr. Ronald Hogan
Title
Cfo/Sr VP
Phone
(318) 327-7369

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

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

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 66

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fmol Health| St. Francis
Monroe, LA · CCN 190125		 Hospital Operational/Managerial Control Aug 15, 2013
Fmol Health| St. Francis
Monroe, LA · CCN 19T125		 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1990
St Francis Medical Center Home Health
Monroe, LA · CCN 197091		 Home health agency 5% Or Greater Direct Ownership Interest (33%) Sep 1, 2001

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031204000183 LA Part B Supplier - Clinic/Group Practice 7810892718 Receives reassigned benefits from 65 practitioners
1 other NPI on this enrollment
Practice locations: Monroe, LA

National Provider Directory

Tax ID family
St Francis Med Center (9 organizations share this tax ID)
Part of
St Francis Med Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2080N0001X 157 LA
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X 157 LA Yes
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208800000X 157 LA

Addresses

Primary practice location

309 Jackson St
Monroe, LA 71201-7407

Mailing address

PO Box 1901
Monroe, LA 71210-1901
Phone (318) 327-4255

Other identifiers

IdentifierTypeStateIssuer
1796069MedicaidLA

Other names

  • EKG SERVICES & HOSPITAL BASED PHYSICIANS Other name

Other providers in Monroe, LA

All providers in Monroe, LA · Diagnostic Radiology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.