Provider Demographics
NPI:1407833486
Name:SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
Entity type:Organization
Organization Name:SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-717-4396
Mailing Address - Street 1:114 WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1299
Mailing Address - Country:US
Mailing Address - Phone:860-714-4000
Mailing Address - Fax:860-714-8032
Practice Address - Street 1:114 WOODLAND ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1299
Practice Address - Country:US
Practice Address - Phone:860-714-4000
Practice Address - Fax:860-714-8032
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY HEALTH OF NEW ENGLAND CORPORATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-29
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0054282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4041620Medicaid
CTH09863OtherOXFORD
CT21479OtherFIRST CHOICE PREFERRED ON
CT000001OtherAETNA
CT21479OtherWELLCARE
CT4041620OtherINPATIENT MEDICAID
CT18OtherBLUE CROSS
CT74OtherUNITED HEALTHCARE
CT999453OtherCONNECTICARE
CT000001OtherCIGNA
CTH09863OtherOXFORD
CT999453OtherCONNECTICARE