SAINT FRANCIS MEDICAL CENTER (NPI# 1417424151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417424151 |
| Entity Type | Organization |
| Organization Name | SAINT FRANCIS MEDICAL CENTER |
| Other Organization Name | FERGUSON MEDICAL GROUP CHARLESTON |
| Practice Address |
112 W Commercial St Charleston MO 63834-1601 |
| Mailing Address |
Po Box 801143 Kansas City MO 64180-1143 |
| Practice Telephone | 5736834010 |
| Practice Fax Number | 5734710461 |
| Mailing Telephone | 5733313000 |
| Mailing Fax Number | 5733315079 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | KIM G WITTENBORN (MANAGER MEDICAL STAFF) |
| Authorized Official Telephone | 5733313080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ferguson Medical Group Charleston | 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 |
112 W COMMERCIAL ST |
| City | CHARLESTON |
| State | MO |
| Zip Code | 63834-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346700028 | Saint Francis Medical Center | Social Worker | 112 W Commercial St, Charleston, MO 63834-1601 | 2019-03-20 |
| 1922332766 | Ferguson Medical Group Rural Health Center Inc. | Pediatrics | 112 W Commercial St, Charleston, MO 63834-1601 | 2009-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215268404 | Lori J Blankenship | Nurse Practitioner | 1403 East Marshall, Charleston, MO 63834 | 2010-01-27 |
| 1548319759 | Donald Allen Raithel | Chiropractor | 110 West Commercial Ave, Charleston, MO 63834 | 2007-01-09 |
| 1790883064 | Gregorio Lerma Rodriguez | Family Medicine | 1403 E. Marshall Street, Charleston, MO 63834 | 2006-09-20 |
| 1194830760 | Ronald Lee Petersen | Dentist | 104 North Main St, Charleston, MO 63834 | 2006-08-21 |
| 1376068114 | Bianca Daisy | Pharmacist | 406 S. Main Street, Charleston, MO 63834 | 2017-08-12 |
| 1871815597 | Gregorio L. Rodriguez, M.d., P.C. | Family Medicine | 1403 E. Marshall Street, Charleston, MO 63834 | 2010-02-22 |
| 1851551907 | Jeffrey Griesemer | Family Medicine | 1403 E Marshall St, Charleston, MO 63834 | 2008-06-12 |
| 1982968681 | Rebecca Chapman | Chiropractor | 204 N 1st St, Charleston, MO 63834-1100 | 2012-06-27 |
| 1184988834 | Charleston Chiropractic LLC | Chiropractor | 204 N 1st St, Charleston, MO 63834-1100 | 2012-06-27 |
| 1992094825 | Sharon Leslie Mcghee | Counselor | 801 E Marshall St, Charleston, MO 63834-1262 | 2011-03-31 |
| Find all providers in zip 63834 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316152010 | Wolfe Family Medical Clinic Pllc | Clinic/Center | 203 E Walnut St, Charleston, MS 38921 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 63834 |
Please comment or provide details below to improve the information on SAINT FRANCIS MEDICAL CENTER.
| 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.