SAINT FRANCIS MEDICAL CENTER (NPI# 1073165924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073165924 |
Entity Type | Organization |
Organization Name | SAINT FRANCIS MEDICAL CENTER |
Other Organization Name | SAINT FRANCIS OUTPATIENT CENTER IMAGING - POPLAR BLUFF |
Practice Address |
223 Physicians Park Poplar Bluff MO 63901-3956 |
Mailing Address |
Saint Francis Medical Center 211 Saint Francis Drive Cape Girardeau MO 63703-5049 |
Practice Telephone | 5733313000 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-08-16 |
Authorized Official Name | KIM G WITTENBORN (MANAGER) |
Authorized Official Telephone | 5733313080 |
Authorized Official Credential | CPCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0207X |
Clinic/Center Specialization: Radiology, Mobile Mammography |
Ambulatory Health Care Facilities | ||
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Saint Francis Outpatient Center Imaging - Poplar Bluff | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023574365 | Saint Francis Medical Center | Pediatrics | 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901-1908 | 2019-02-12 |
1053844282 | Saint Francis Medical Center | Obstetrics & Gynecology | Rr 4 #4515, Piedmont, MO 63957-9417 | 2017-04-05 |
1023541265 | Saint Francis Medical Center | Family Medicine | 1212 Saint Francis Dr, Dexter, MO 63841-2769 | 2017-04-05 |
1366831943 | Saint Francis Medical Center | Family Medicine | 1212 Saint Francis Drive, Dexter, MO 63841-1212 | 2015-01-20 |
1457757767 | Saint Francis Medical Center | Family Medicine | 420 Piedmont Ave, Piedmont, MO 63957-1024 | 2014-11-13 |
1518372481 | Saint Francis Medical Center | Advanced Practice Midwife | 1702 N Kings Highway St, Cape Girardeau, MO 63701-2122 | 2014-06-30 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1932454956 | Saint Francis Medical Center | Family Medicine | 545 Broad Ridge, Jackson, MO 63755-3001 | 2012-07-16 |
1861711640 | Saint Francis Medical Center | Licensed Practical Nurse | 1300 W Commerce Dr, Ste 200, Peoria, IL 61615-1405 | 2010-05-19 |
1528198942 | Saint Francis Medical Center | Emergency Medicine | 211 St Francid Dr, Cape Girardeau, MO 63703 | 2007-03-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SAINT FRANCIS MEDICAL CENTER | 2620 W Faidley Ave, Grand Island, NE 68803-4205 |
Street Address |
223 PHYSICIANS PARK |
City | POPLAR BLUFF |
State | MO |
Zip Code | 63901-3956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073775680 | Mb Moore Md | Durable Medical Equipment & Medical Supplies | 223 Physicians Park, Poplar Bluff, MO 63901-3956 | 2008-06-26 |
1629208848 | Internal Medicine Associates of Southeast Missouri LLC | Clinic/Center | 223 Physicians Park, Poplar Bluff, MO 63901-3956 | 2009-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
Find all providers in zip 63901 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225196058 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901 | 2006-12-05 |
1831155571 | Advanced Healthcare Diagnostic Services, LLC | Clinic/Center | 2002 Kanell Blvd, Suite 104, Poplar Bluff, MO 63901-4045 | 2006-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336633304 | Midwest Imaging Specialists | Clinic/Center | 201 S Mount Auburn Rd Ste B, Cape Girardeau, MO 63703-4912 | 2018-06-21 |
1922480110 | Eric Edwin Klein | Clinic/Center | 400 Stallion Hill Ct, Chesterfield, MO 63005-4838 | 2015-06-24 |
1255728226 | Harry S. Truman Mvh | Clinic/Center | 132 Southampton Dr, Columbia, MO 65203-3050 | 2015-04-17 |
1215326574 | Walker Medical Building Mri Services, LLC | Clinic/Center | 12855 N 40 Dr Lowr Level, Saint Louis, MO 63141-8657 | 2015-01-09 |
1558617035 | Hi Tech Diagnostics LLC | Clinic/Center | 16502 Barrister Ln, Chesterfield, MO 63005-4602 | 2012-08-02 |
1386945665 | West Central Missouri Diagnostic | Clinic/Center | 1430 Thompson Blvd Ste 7, Sedalia, MO 65301-2209 | 2010-11-03 |
1437476900 | Pearl Imaging, LLC | Clinic/Center | 4293 Veterans Memorial Pkwy, Saint Peters, MO 63376-1657 | 2010-04-23 |
1659504116 | Mri Partners of Chesterfield, LLC. | Clinic/Center | 14825 North Outer Forty Road, Suite 110, Chesterfield, MO 63017-2026 | 2009-09-01 |
1720232192 | Elite Imaging of North County, LLC | Clinic/Center | 433 Lynn Haven Ln, Hazelwood, MO 63042-1808 | 2008-11-11 |
1164647657 | Ct Partners of Chesterfield, LLC | Clinic/Center | 14825 North Outer Forty Rd., Ste 110, Chesterfield, MO 63017-2026 | 2007-04-17 |
Find all providers with the same taxonomy |
City | POPLAR BLUFF |
Zip Code | 63901 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.