ST. FRANCIS HOSPITAL AND HEALTH CENTERS (HONEY GROVE FAMILY MEDICINE) - NPI NUMBER 1912028374

Summary

Provider Name: ST. FRANCIS HOSPITAL AND HEALTH CENTERS (HONEY GROVE FAMILY MEDICINE)

NPI Number: 1912028374

Clasification: Family Medicine (207Q00000X)

Address:
1711 S STATE ROAD 135
SUITE C
GREENWOOD, IN
ZIP 46143

Phone Number: (317) 881-7400



Detailed Information

ST. FRANCIS HOSPITAL AND HEALTH CENTERS is a family physician in Greenwood, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1912028374 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Honey Grove Family Medicine.

The provider's business address is:

1711 S STATE ROAD 135
SUITE C
GREENWOOD, IN
ZIP 46143-433
Phone: (317) 881-7400
Fax: (317) 881-7477

The provider's authorized official is John Murphy .
The authorized official title is Ceo and has the following contact phone number (317) 781-3604.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207Q00000X Family Medicine Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1912028374 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name ST. FRANCIS HOSPITAL AND HEALTH CENTERS The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name HONEY GROVE FAMILY MEDICINE Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 1711 S STATE ROAD 135 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Second Line Business Practice Location Address SUITE C The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name GREENWOOD The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
10 Provider Business Practice Location Address State Name IN The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 461439433 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
13 Provider Business Practice Location Address Telephone Number 3178817400 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 3178817477 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 4/3/2007 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 7/8/2007 The date that a record was last updated or changed.
17 Authorized Official Last Name MURPHY The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
18 Authorized Official First Name JOHN The first name of the authorized official.
19 Authorized Official Title or Position CEO The title or position of the authorized official.
20 Authorized Official Telephone Number 3177813604 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 207Q00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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