Provider Demographics
NPI:1548212525
Name:MT SAINT FRANCIS ASSOCIATES
Entity type:Organization
Organization Name:MT SAINT FRANCIS ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRAPPIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-765-5844
Mailing Address - Street 1:4 SAINT JOSEPH ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-5416
Mailing Address - Country:US
Mailing Address - Phone:401-765-5844
Mailing Address - Fax:401-765-1026
Practice Address - Street 1:4 SAINT JOSEPH ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-5416
Practice Address - Country:US
Practice Address - Phone:401-765-5844
Practice Address - Fax:401-765-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00650314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
7100097OtherUNITED HEALTH PROV. #
RI4105079Medicaid
RI4105079Medicaid