Organization
SAINT FRANCIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE C WILKERSON (CREDENTIALING)
(573) 331-5583
Entity
Organization
Contact information
Practice address
211 ST FRANCID DR, CAPE GIRARDEAU, MO 63703
(573) 331-5228
(573) 331-5039
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5228
(573) 331-5039
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110375
HEALTHLINK
MO
01
—
153
BLUE CROSS #
MO
01
—
46165
GHP PROVIDER#
MO
05
—
540168035
—
MO
Enumeration date
03/06/2007
Last updated
06/08/2018
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