Basic Information
Provider Information
NPI: 1790391183
EntityType: 2
ReplacementNPI:  
OrganizationName: ST FRANCIS HOSPITAL INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 701 N CLAYTON ST
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198053165
CountryCode: US
TelephoneNumber: 3024214100
FaxNumber:  
Practice Location
Address1: 701 N CLAYTON ST
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198053165
CountryCode: US
TelephoneNumber: 3024214100
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/21/2020
LastUpdateDate: 09/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CRAIG
AuthorizedOfficialFirstName: SYLVIA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR
AuthorizedOfficialTelephone: 3024214140
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
3416A0800X  N Transportation ServicesAmbulanceAir Transport
3416L0300X  N Transportation ServicesAmbulanceLand Transport
341600000X  Y Transportation ServicesAmbulance 

No ID Information.


Home