Organization Active NPI

St. Francis Medical Center, Inc.

Doing business as St. Francis Walk In Clinic, Jackson St.

  • Primary Care Clinic/Center
  • Monroe, LA
National Provider Identifier
1437552106
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
157 Issued in LA
Legal business name
ST. FRANCIS MEDICAL CENTER, INC.
Doing business as
St. Francis Walk In Clinic, Jackson St.
Practice address
1805 Jackson St
Monroe, LA 71202-2529
Phone
(318) 966-6165
NPI assigned
Oct 8, 2014
Last updated
Oct 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Ronald E. Hogan
Title
Regional Cfo
Phone
(318) 966-7369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 157 LA Primary

Addresses

Primary practice location

1805 Jackson St
Monroe, LA 71202-2529

Mailing address

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

Other names 1

  • St. Francis Walk In Clinic, Jackson St. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

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
This NPI is an additional NPI on the enrollment
Practice locations: Monroe, LA

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2280950St Francis Medical Group-PC Jackson St Clinic1805 Jackson St, Monroe, LA 71202Certificate of waiverApr 27, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2600 Tower Dr
Monroe, LA 71201
Phone (318) 966-1881

2600 Tower Dr
Ste 409
Monroe, LA 71201
Phone (318) 966-1881

312 Grammont St
Monroe, LA 71201
Phone (318) 388-4040

312 Grammont St
Ste 408
Monroe, LA 71201
Phone (318) 398-2984

3510 Medical Park Dr
Ste 7
Monroe, LA 71203
Phone (318) 966-6160

411 Calypso St
Ste 200A
Monroe, LA 71201
Phone (318) 966-1970

920 Oliver Rd
Ste B
Monroe, LA 71201
Phone (318) 327-6201

Practitioners & affiliated clinicians

Practitioners 95

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.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1437552106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017407",
            "telephone_number": "318-966-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022529",
            "telephone_number": "318-966-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FRANCIS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "318-966-7369"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Walk In Clinic, Jackson St.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.