St Francis Hospital, Inc.

Organization Active NPI Clinical Medical Laboratory · Greenville, SC

NPI 1972127017 · NPPES record last updated Jun 4, 2020

Key facts

NPI
1972127017
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
ST FRANCIS HOSPITAL, INC.
Practice address
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone
(864) 255-1049
NPI assigned
Jun 4, 2020
Organization subpart
No

Authorized official

Name
Kimberly M Ralston
Title
Director Reimbursement
Phone
(419) 996-5119

Owners & managing parties with NPI records 3

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

Other NPIs on the same Medicare enrollment 5

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

Corporate family (same tax ID) 8

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

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

Practitioners 11

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

Affiliated clinicians 1,071

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

View all 1,071

Medicare Care Compare: Hospital

Listed as
St Francis-Downtown CCN 420023
Overall star rating
★★★★☆ 4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

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
Corporation · Non-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

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 Director
Board Member
Jan 1, 2024
Kathryn Clauss
Individual
Corporate Director
Board Member
Jan 1, 2018
Elizabeth Nuckolls
Individual
Corporate Director
Board Member
Jan 1, 2026
Ahmad M Boota
Individual
Corporate Director
Board Member
Jan 1, 2025
Doris Haley
Individual
Corporate Director
Board Member
Jan 1, 2023
Matthew T Caldwell
Individual
Corporate Officer
President
Apr 29, 2019
Corporate Director
President
Apr 29, 2019
W-2 Managing Employee
President
Apr 29, 2019
Kimberly F Cooley
Individual
Corporate Director
Board Member
Jan 1, 2025
David a Cannady
Individual
Corporate Director
Board Member
Jan 1, 2023
Carl S Sobocinski
Individual
Corporate Director
Board Member
Jan 1, 2025
Brian Yanofchick
Individual
Corporate Director
Board 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 Director
Board Member
Jan 1, 2018
John Starcher
Individual
Operational/Managerial Control
Cho Admin
Sep 1, 2018
Frederick Gilmer
Individual
Corporate Director
Board Member
Jan 1, 2023
Paola a Rogers
Individual
Corporate Director
Board Member
Jan 1, 2025
Thomas C Mann
Individual
Corporate Director
Board Member
Jan 1, 2021
Wendy Walden
Individual
Corporate Director
Board Member
Jan 1, 2018
Lee C Palms
Individual
Corporate Director
Board 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 Director
Board Member
Jan 1, 2021
Matthew Cooney
Individual
Corporate Director
Board Member
Jan 1, 2021
Mary E Davia
Individual
Corporate Director
Board Member
Jan 1, 2025
Kenneth P Baca
Individual
Corporate Director
Board Member
Jan 1, 2017
Kimberly M Ralston
Individual
W-2 Managing Employee
VP Reimbursement
Mar 12, 2025

Medicare enrollment records

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

National Provider Directory

Tax ID family
Upstate OBGYN Associates PA (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

1 Saint Francis Dr
Greenville, SC 29601-3955

Mailing address

PO Box 406841
Atlanta, GA 30384-6841

Other names

  • BON SECOURS LABORATORY SERVICES - GREENVILLE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2020.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1972127017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406841",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303846841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT FRANCIS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013955",
            "telephone_number": "864-255-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BON SECOURS LABORATORY SERVICES - GREENVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

All providers in Greenville, SC · Clinical Medical Laboratory in South Carolina

Sources for this page

Verify at the official NPI Registry.