Basic Information
| Provider Information | |||||||||
| NPI: | 1669002002 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FRANKLIN PARISH HOSPITAL SERVICE DIST 1 | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | FRANKLIN MEDICAL CENTER | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7645 GILBERT STREET | ||||||||
| Address2: | |||||||||
| City: | GILBERT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 71336 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7645 GILBERT STREET | ||||||||
| Address2: | |||||||||
| City: | GILBERT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 71336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184359411 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2020 | ||||||||
| LastUpdateDate: | 03/03/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | KRAMER | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | BLAKE | ||||||||
| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 3184125265 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | FRANKLIN PARISH HOSPITAL SERVICE DIST 1 | ||||||||
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| NPICertificationDate: | 03/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.