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
-
Ahmad Boota, MD
-
Thomas C Mann Jr., M.D.
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 8
Related certifications (CCN) 1
Practitioners 11
-
Siddesha Arashinagundi, M.D.
-
Bruce A Bourdon, MD
-
Stephanie Fisher, PA
-
Peter Michael Gustafson, CRNA
-
Elaine Mary Haule, M.D.
-
Susan L. Morehouse-Moore, P.A.C
-
Celia Melinda Thomas, M.D.
-
Michael A Towler, M.D.
Affiliated clinicians 1,071
-
Fiby Kamel Abd El Malek, M.D.
-
Dean R Adams, MD
-
Huma S Aftab, M.D.
-
Vidya Ajaradder, MD
-
Omar Boston Alexander, M.D.
-
Zeeshan Ali, MD
-
Telicia Hughes Allen, M.D.
-
Jessica Alles, CRNA
-
Laura Marcela Alonso-Price, MSN, LISW-CP, PMHNP
-
Brandi Kay Alt, D.O.
-
Nalini Anumula, FNP-C
-
Rico Amancio Aragon, M.D.
-
Siddesha Arashinagundi, M.D.
-
Chase Arbra, MD
-
Daphne Jo Areephanthu, APRN
-
Sallie Ruth Areford, M.D.
-
Frank Michael Armocida, M.D.
Medicare Care Compare: Hospital
- Listed as
- St Francis-Downtown
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
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 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Robert David Siegel |
Corporate Director |
Jan 1, 2024 | |
| Kathryn Clauss |
Corporate Director |
Jan 1, 2018 | |
| Elizabeth Nuckolls |
Corporate Director |
Jan 1, 2026 | |
| Ahmad M Boota |
Corporate Director |
Jan 1, 2025 | |
| Doris Haley |
Corporate Director |
Jan 1, 2023 | |
| Matthew T Caldwell |
Corporate Officer |
Apr 29, 2019 | |
| Corporate Director |
Apr 29, 2019 | ||
| W-2 Managing Employee |
Apr 29, 2019 | ||
| Kimberly F Cooley |
Corporate Director |
Jan 1, 2025 | |
| David a Cannady |
Corporate Director |
Jan 1, 2023 | |
| Carl S Sobocinski |
Corporate Director |
Jan 1, 2025 | |
| Brian Yanofchick |
Corporate Director |
Jan 1, 2023 | |
| Bon Secours Mercy Health Inc |
5% Or Greater Indirect Ownership Interest | Sep 1, 2018 | 100% |
| John T Pazdan |
Corporate Director |
Jan 1, 2018 | |
| John Starcher |
Operational/Managerial Control |
Sep 1, 2018 | |
| Frederick Gilmer |
Corporate Director |
Jan 1, 2023 | |
| Paola a Rogers |
Corporate Director |
Jan 1, 2025 | |
| Thomas C Mann |
Corporate Director |
Jan 1, 2021 | |
| Wendy Walden |
Corporate Director |
Jan 1, 2018 | |
| Lee C Palms |
Corporate Director |
Jan 1, 2023 | |
| Bon Secours St. Francis Health System, Inc. |
5% Or Greater Direct Ownership Interest | Jan 1, 2000 | 100% |
| Gary Daniels |
Corporate Director |
Jan 1, 2021 | |
| Matthew Cooney |
Corporate Director |
Jan 1, 2021 | |
| Mary E Davia |
Corporate Director |
Jan 1, 2025 | |
| Kenneth P Baca |
Corporate Director |
Jan 1, 2017 | |
| Kimberly M Ralston |
W-2 Managing Employee |
Mar 12, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2020. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.