Basic Information
| Provider Information | |||||||||
| NPI: | 1306021977 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ST. FRANCIS HOSPITAL AND HEALTH CENTERS | ||||||||
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| OtherOrganizationName: | THE RHEUMATOLOGY CENTER AT MOORESVILLE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 660315 | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462660001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177813604 | ||||||||
| FaxNumber: | 3177803345 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 HADLEY RD | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | MOORESVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 461581883 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3178349051 | ||||||||
| FaxNumber: | 3178349065 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2008 | ||||||||
| LastUpdateDate: | 01/02/2008 | ||||||||
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| AuthorizedOfficialLastName: | MURPHY | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 3177813604 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 01057051A | IN | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.