Basic Information
| Provider Information | |||||||||
| NPI: | 1801190558 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ST. FRANCIS HEALTH CENTER, INC. | ||||||||
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| OtherOrganizationName: | ST. FRANCIS IMAGING CENTER & MEDICAL CLINIC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 SW 7TH ST | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666062489 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852958000 | ||||||||
| FaxNumber: | 7852955491 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 SW CORPORATE VIEW RD | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666151244 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852707674 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2011 | ||||||||
| LastUpdateDate: | 03/25/2015 | ||||||||
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| AuthorizedOfficialLastName: | SETCHEL | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7852958993 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | SCL HEALTH | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0200X | H-089-002 | KS | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology |
ID Information
| ID | Type | State | Issuer | Description | 100080610A | 05 | KS | MEDICAID |