# SAINT FRANCIS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Saint Francis Clinic Farmington
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013585561
- **Authorized official:** BLAKE COSPER (DIRECT - REIMBURSEMENT)
- **Authorized official phone:** (417) 209-1087

## Contact information

- **Practice address:** 515 MAPLE VALLEY DR, FARMINGTON, MO 63640-1919
- **Practice address phone:** (573) 760-7920
- **Practice address fax:** (573) 576-9597
- **Mailing address:** PO BOX 801143, KANSAS CITY, MO 64180-1143
- **Mailing address phone:** (573) 331-3000
- **Mailing address fax:** (573) 331-5073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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