SAINT FRANCIS CLINIC JACKSON
NPI 1154854388
Clinic/Center in Jackson, MO
- Organization
- Clinic/Center
- CLIA Number: 26D0871021
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 05-07-2027
About SAINT FRANCIS CLINIC JACKSON
This page provides the complete NPI Profile along with additional information for Saint Francis Clinic Jackson, a provider established in Jackson, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1154854388 assigned on April 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Saint Francis Clinic Jackson. The authorized official of this NPI record is Justin Davison (Cfo)
- NPI
- 1154854388 Verify this NPI
- Provider Legal Name
- SAINT FRANCIS MEDICAL CENTER
- Other Organization Name
- SAINT FRANCIS CLINIC JACKSON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2130 E JACKSON BLVD JACKSON, MO 63755
- Location Phone
- (573) 243-3115
- Location Fax
- (573) 243-4700
- Mailing Address
- PO BOX 801143 KANSAS CITY, MO 64180
- Mailing Phone
- (573) 331-5583
- Mailing Fax
- (573) 331-5079
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2017
- Last Update Date
- 05-10-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 3 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0871021
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- May 08, 2025
- Certificate Expiration Date
- May 07, 2027
- Laboratory Director
- LAURA E. GLUECK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Saint Francis Clinic Jackson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154854388, enumerated as an "organization" on April 05, 2017.
The provider is located at 2130 E JACKSON BLVD JACKSON, MO 63755 and the phone number is (573) 243-3115.
Clinic/Center with taxonomy code 261Q00000X.
