Provider Demographics
NPI:1033438627
Name:FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Other - Org Name:WEEMS MEDICAL CENTER EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-653-8853
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:APALACHICOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32329-0580
Mailing Address - Country:US
Mailing Address - Phone:850-653-8853
Mailing Address - Fax:850-653-1879
Practice Address - Street 1:110 NE 5TH ST
Practice Address - Street 2:
Practice Address - City:CARRABELLE
Practice Address - State:FL
Practice Address - Zip Code:32322-3529
Practice Address - Country:US
Practice Address - Phone:850-697-2345
Practice Address - Fax:850-697-2348
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-23
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR1300X, 261QR1300X
FLHHC7177261Q00000X, 261Q00000X
FLHCC7177261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261683101Medicaid
FL261683101Medicaid
FL261683100Medicaid
FL187649OtherWELLCARE
FL261683101Medicaid