Basic Information
| Provider Information | |||||||||
| NPI: | 1700885928 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ST. FRANCIS HOSPITAL INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 N CLAYTON ST | ||||||||
| Address2: | 7TH FLOOR | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198053165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3025758271 | ||||||||
| FaxNumber: | 3025758342 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 N GRANT AVE | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198052671 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027782229 | ||||||||
| FaxNumber: | 3027782250 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2005 | ||||||||
| LastUpdateDate: | 03/16/2018 | ||||||||
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| AuthorizedOfficialLastName: | CRAIG | ||||||||
| AuthorizedOfficialFirstName: | SYLVIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3024218039 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | DE | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 174400000X | N | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist | 207V00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 100105 | 01 | COVENTRY HEALTH PLAN | OTHER | 2315187 | 01 | AETNA | OTHER | 0306487000 | 01 | KEYSTONE HEALTH PLAN | OTHER | 0306487000 | 01 | AMERIHEALTH | OTHER |