Provider Demographics
NPI:1003931866
Name:COMMUNITY SERVICES OF FRANKLIN COUNTY
Entity Type:Organization
Organization Name:COMMUNITY SERVICES OF FRANKLIN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-456-2128
Mailing Address - Street 1:PO BOX 58
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50441-2102
Mailing Address - Country:US
Mailing Address - Phone:641-456-2128
Mailing Address - Fax:641-456-2852
Practice Address - Street 1:123 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50441-2102
Practice Address - Country:US
Practice Address - Phone:641-456-2128
Practice Address - Fax:641-456-2852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0150565Medicaid