SAINT FRANCIS CLINIC JACKSON WELLNESS CENTER – NPI #1790218923
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

SAINT FRANCIS CLINIC JACKSON WELLNESS CENTER is an AHC clinic located in JACKSON, MO. NPPES has assigned the NPI number 1790218923 to SAINT FRANCIS CLINIC JACKSON WELLNESS CENTER on April 05, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAINT FRANCIS CLINIC JACKSON WELLNESS CENTER” is a dba name, the actual legal business name for this organization is SAINT FRANCIS MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on Sep 17, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAINT FRANCIS CLINIC JACKSON WELLNESS CENTER below.

NPI Profile for
SAINT FRANCIS MEDICAL CENTER

NPI Number
1790218923
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAINT FRANCIS MEDICAL CENTER
Doing Business As (dba): SAINT FRANCIS CLINIC JACKSON WELLNESS CENTER
Primary location
545 BROADRIDGE DR
JACKSON, MO 63755-3001
Phone: (573) 243-1997 Fax: (573) 243-0445
Mailing address
PO BOX 801143
KANSAS CITY, MO 64180-1143
Phone: (573) 331-5583 Fax: (573) 331-5079
Organization Subpart
No
Authorized Official
KIM GILLILAND
CREDENTIALING
Phone: (573) 331-5583
Updated
Certification Date
Sep 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant
207Q00000X
- Family Medicine
104100000X
- Social Worker

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.