# SAINT FRANCIS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Saint Francis Clinic Jackson Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790218923
- **Authorized official:** KIM GILLILAND (CREDENTIALING)
- **Authorized official phone:** (573) 331-5583

## Contact information

- **Practice address:** 545 BROADRIDGE DR, JACKSON, MO 63755-3001
- **Practice address phone:** (573) 243-1997
- **Practice address fax:** (573) 243-0445
- **Mailing address:** PO BOX 801143, KANSAS CITY, MO 64180-1143
- **Mailing address phone:** (573) 331-5583
- **Mailing address fax:** (573) 331-5079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/05/2017
- **Last updated:** 09/17/2021