Basic Information
| Provider Information | |||||||||
| NPI: | 1811929151 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SAINT FRANCIS HOSPITAL - BARTLETT, INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ST. FRANCIS HOSPITAL-BARTLETT | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 741282 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303741282 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6782422002 | ||||||||
| FaxNumber: | 6782422202 | ||||||||
| Practice Location | |||||||||
| Address1: | 2986 KATE BOND RD | ||||||||
| Address2: | |||||||||
| City: | BARTLETT | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381334003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9018207050 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 06/07/2022 | ||||||||
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| AuthorizedOfficialLastName: | NELSON | ||||||||
| AuthorizedOfficialFirstName: | RYAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 9018207000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 06/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 0000000161 | TN | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 271156 | 01 | COVENTRY HEALTH CARE LOUI | OTHER | 4073962 | 01 | BCBS OF TENNESSEE | OTHER | 431608 | 01 | HEALTHSPRINGS | OTHER | 440228B000000 | 01 | SECTION 1011 | OTHER | 611190500 | 01 | US DEPT OF LABOR-OWCP | OTHER | 881726510 | 01 | AETNA US HEALTHCARE | OTHER | 31531 | 01 | TLC FAMILY HEALTHCARE | OTHER | 153805 | 01 | UNISON HEALTH PLANS | OTHER | 26824 | 01 | OMNICARE HEALTH PLAN | OTHER |