1831144054 NPI number — FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1

Table of content: (NPI 1831144054)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831144054 NPI number — FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FRANKLIN MEDICAL CENTER
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831144054
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 VERONA STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWELLTON
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71357
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-467-9949
Provider Business Mailing Address Fax Number:
318-467-2093

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
104 VERONA STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWELLTON
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-467-9949
Provider Business Practice Location Address Fax Number:
318-467-2093
Provider Enumeration Date:
05/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KRAMER
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
BLAKE
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
318-412-5265

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X , with the licence number:  181RHC-1 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1440990 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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