Basic Information
| Provider Information | |||||||||
| NPI: | 1902270432 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SAINT FRANCIS COMMUNITY SERVICES IN MISSISSIPPI INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 509 E ELM ST | ||||||||
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| City: | SALINA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 674012353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7858250541 | ||||||||
| FaxNumber: | 7858250062 | ||||||||
| Practice Location | |||||||||
| Address1: | 503 SEAL ST | ||||||||
| Address2: | APT 7 | ||||||||
| City: | PICAYUNE | ||||||||
| State: | MS | ||||||||
| PostalCode: | 394665386 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6017494848 | ||||||||
| FaxNumber: | 6017494849 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2015 | ||||||||
| LastUpdateDate: | 11/20/2015 | ||||||||
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| AuthorizedOfficialLastName: | CARLGREN | ||||||||
| AuthorizedOfficialFirstName: | BRIAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP OF FINANCIAL SERVICES | ||||||||
| AuthorizedOfficialTelephone: | 7858250541 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.