Provider Demographics
NPI:1588768592
Name:FRANCISCAN ST. FRANCIS HEALTH
Entity type:Organization
Organization Name:FRANCISCAN ST. FRANCIS HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BREHM
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:317-528-8470
Mailing Address - Street 1:8051 SOUTH EMERSON AVENUE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237
Mailing Address - Country:US
Mailing Address - Phone:317-528-2244
Mailing Address - Fax:317-528-2249
Practice Address - Street 1:8051 SOUTH EMERSON AVENUE
Practice Address - Street 2:SUITE 270
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237
Practice Address - Country:US
Practice Address - Phone:317-528-2244
Practice Address - Fax:317-528-2249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies