1881685618 NPI number — FRANKLIN HEALTH CARE, INC

Table of content: (NPI 1881685618)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881685618 NPI number — FRANKLIN HEALTH CARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANKLIN HEALTH CARE, 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:
1881685618
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1154 E MARKET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARREN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44483-6604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-393-8080
Provider Business Mailing Address Fax Number:
330-393-8090

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1154 E MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44483-6604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-393-8080
Provider Business Practice Location Address Fax Number:
330-393-8090
Provider Enumeration Date:
11/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MANIOS
Authorized Official First Name:
LEE
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
330-393-8080

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  HMEL. 11051 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 8200250 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0235525 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1545979 . This is a "GATEWAY" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 56202 . This is a "NORTHWOOD NPN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000221879 . This is a "ANTHEM BLUE CROSS/SHIELD" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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