Basic Information
| Provider Information | |||||||||
| NPI: | 1144228487 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SAINT FRANCIS HOSPITAL, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6600 S YALE AVE | ||||||||
| Address2: | SUITE 500 | ||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741363310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9185028010 | ||||||||
| FaxNumber: | 9185028002 | ||||||||
| Practice Location | |||||||||
| Address1: | 6161 S YALE AVE | ||||||||
| Address2: | |||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741361902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9184942200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2005 | ||||||||
| LastUpdateDate: | 04/03/2019 | ||||||||
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| AuthorizedOfficialLastName: | EDWARDS | ||||||||
| AuthorizedOfficialFirstName: | RENEE | ||||||||
| AuthorizedOfficialMiddleName: | I | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR, PATIENT FINANCIAL SERVICE | ||||||||
| AuthorizedOfficialTelephone: | 9185028010 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 2262 | OK | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 00981255 | 05 | NY | MEDICAID | 700522215 | 01 | OK | MEDICARE PROFESSIONAL | OTHER | XHSP31145 | 01 | CA | MEDICAID INPATIENT | OTHER | 000370091001 | 01 | OK | BLUE CROSS | OTHER | 010853406 | 05 | MO | MEDICAID | 100699570C | 01 | OK | MEDICAID PROFESSIONAL | OTHER | 126294 | 05 | AZ | MEDICAID | 690009490 | 01 | OK | MEDICARE RAILROAD | OTHER | 0918540 | 05 | IA | MEDICAID | 100699570A | 05 | OK | MEDICAID | 396100 | 01 | OK | MEDICARE BLACK LUNG | OTHER | 100099860A | 05 | KS | MEDICAID | 072674701 | 05 | TX | MEDICAID | XHSP41145 | 01 | CA | MEDICAID OUTPATIENT | OTHER | 174568900 | 01 | OK | US DEPT OF LABOR | OTHER | 1791148 | 05 | LA | MEDICAID | 95007951 | 05 | CO | MEDICAID | 108245105 | 05 | AR | MEDICAID |