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Organization
SAINT FRANCIS MEDICAL CENTER
Active
Organization
SAINT FRANCIS MEDICAL CENTER
Active
Other names
Saint Francis Clinic Farmington
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE COSPER (DIRECT - REIMBURSEMENT)
(417) 209-1087
Entity
Organization
Contact information
Practice address
515 MAPLE VALLEY DR, FARMINGTON, MO 63640-1919
(573) 760-7920
(573) 576-9597
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-3000
(573) 331-5073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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