NPIMap

Organization Active NPI

St Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
National Provider Identifier
1467496802
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
HTL793 Issued in SC
Legal business name
ST FRANCIS HOSPITAL, INC.
Practice address
125 Commonwealth Dr
Greenville, SC 29615-4812
Phone
(864) 675-4000
Fax
(864) 675-4082
NPI assigned
Jun 16, 2006
Last updated
Jun 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Raymond McCulloch
Title
Controller
Phone
(864) 282-4910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X HTL793 SC Primary

Addresses

Primary practice location

125 Commonwealth Dr
Greenville, SC 29615-4812

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (804) 627-5462

Other names 1

  • St. Francis Eastside Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000130 SC Part A Provider - Hospital 3779487186 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, SC; Simpsonville, SC; Piedmont, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467496802. Details of each certification follow.

Hospital certification: CCN 420023

Legal name
ST FRANCIS HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 12, 2022
Beds
245
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 27, 1999 in SC
Enrollment address
1 Saint Francis Dr
Greenville, SC 29601-3955
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Francis-DowntownCCN 420023 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Francis Hospital Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert David Siegel Individual Corporate DirectorBoard Member Jan 1, 2024
Kathryn Clauss Individual Corporate DirectorBoard Member Jan 1, 2018
Elizabeth Nuckolls Individual Corporate DirectorBoard Member Jan 1, 2026
Ahmad M Boota Individual Corporate DirectorBoard Member Jan 1, 2025
Doris Haley Individual Corporate DirectorBoard Member Jan 1, 2023
Matthew T Caldwell Individual Corporate OfficerPresident Apr 29, 2019
Corporate DirectorPresident Apr 29, 2019
W-2 Managing EmployeePresident Apr 29, 2019
Kimberly F Cooley Individual Corporate DirectorBoard Member Jan 1, 2025
David a Cannady Individual Corporate DirectorBoard Member Jan 1, 2023
Carl S Sobocinski Individual Corporate DirectorBoard Member Jan 1, 2025
Brian Yanofchick Individual Corporate DirectorBoard Member Jan 1, 2023
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
John T Pazdan Individual Corporate DirectorBoard Member Jan 1, 2018
John Starcher Individual Operational/Managerial ControlCho Admin Sep 1, 2018
Frederick Gilmer Individual Corporate DirectorBoard Member Jan 1, 2023
Paola a Rogers Individual Corporate DirectorBoard Member Jan 1, 2025
Thomas C Mann Individual Corporate DirectorBoard Member Jan 1, 2021
Wendy Walden Individual Corporate DirectorBoard Member Jan 1, 2018
Lee C Palms Individual Corporate DirectorBoard Member Jan 1, 2023
Bon Secours St. Francis Health System, Inc. Organization, Greenville, SC Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2000 100%
Gary Daniels Individual Corporate DirectorBoard Member Jan 1, 2021
Matthew Cooney Individual Corporate DirectorBoard Member Jan 1, 2021
Mary E Davia Individual Corporate DirectorBoard Member Jan 1, 2025
Kenneth P Baca Individual Corporate DirectorBoard Member Jan 1, 2017
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Mar 12, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 29

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 29

Affiliated clinicians 1,071

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,071

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1467496802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 MAGELLAN PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271149",
            "telephone_number": "804-627-5462",
            "fax_number": "866-449-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMONWEALTH DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154812",
            "telephone_number": "864-675-4000",
            "fax_number": "864-675-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "864-282-4910"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Eastside",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Francis Eastside",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.