1063651743 NPI number — FRANKLIN SQUARE HOSPITAL CENTER INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063651743 NPI number — FRANKLIN SQUARE HOSPITAL CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKLIN SQUARE HOSPITAL CENTER INC
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:
Provider Other Organization Name Type Code:
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:
1063651743
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1576 MERRITT BLVD
Provider Second Line Business Mailing Address:
SUITE 16
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21222-2132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-650-2191
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1576 MERRITT BLVD
Provider Second Line Business Practice Location Address:
SUITE 16
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21222-2132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-650-2191
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2009

Additional Information

Authorized Official

Authorized Official Last Name:
SHARKEY
Authorized Official First Name:
LISA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER, PROFESSIONAL FEE BILLING
Authorized Official Telephone Number:
443-777-7142

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 042291604 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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