1205884723 NPI number — FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1

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 1205884723 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:
Provider Other Organization Name Type Code:
6
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:
1205884723
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1300
Provider Second Line Business Mailing Address:
2106 LOOP ROAD
Provider Business Mailing Address City Name:
WINNSBORO
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71295-1300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-435-9411
Provider Business Mailing Address Fax Number:
318-435-4543

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2106 LOOP RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINNSBORO
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71295-3342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-435-9411
Provider Business Practice Location Address Fax Number:
318-435-4543
Provider Enumeration Date:
05/05/2006

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: 275N00000X , with the licence number:  181 , 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)





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