Basic Information
| Provider Information | |||||||||
| NPI: | 1255419651 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ST. FRANCIS MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 HAMILTON AVE | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086291915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095995000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 601 HAMILTON AVE | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086291915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095995000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2006 | ||||||||
| LastUpdateDate: | 09/02/2015 | ||||||||
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| AuthorizedOfficialLastName: | KELLY | ||||||||
| AuthorizedOfficialFirstName: | MARK | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF FINANCIAL OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 6065995119 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 11105 | NJ | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 0546244 | 01 | AETNA HMO | OTHER | 20844 | 01 | UNIVERSITY HEALTH PLAN | OTHER | 310021 | 01 | AARP | OTHER | 310021 | 01 | NJ | HORIZON | OTHER | 41366058 | 05 | NJ | MEDICAID | 1016318 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 50053 | 01 | AMERIGROUP | OTHER | 1000191700 | 01 | AMERICHOICE | OTHER | 300795 | 01 | PA | KEYSTONE | OTHER | 310021 | 01 | BLUE CROSS | OTHER | IL5506 | 01 | PHS MEDICAID | OTHER | 0546211 | 01 | AETNA LIFE | OTHER | 18653260002 | 01 | PA | PA MEDICAID | OTHER | 300795 | 01 | AMERIHEALTH | OTHER | 1237 | 01 | PA | IBC | OTHER | 310021 | 01 | MAIL HANDLERS | OTHER | H03064 | 01 | OXFORD | OTHER | 310021 | 01 | MAGNET | OTHER |