Provider Demographics
NPI:1144437211
Name:COUNTY OF FRANKLIN
Entity type:Organization
Organization Name:COUNTY OF FRANKLIN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SCHUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-269-4900
Mailing Address - Street 1:P.O. BOX 246
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:WA
Mailing Address - Zip Code:99343
Mailing Address - Country:US
Mailing Address - Phone:509-269-4900
Mailing Address - Fax:509-269-4977
Practice Address - Street 1:22210 GLADE ROAD NO.
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:WA
Practice Address - Zip Code:99343
Practice Address - Country:US
Practice Address - Phone:509-269-4900
Practice Address - Fax:509-269-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA11X01341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9505207OtherPREMERA BLUE CROSS
CAWA51516SPOtherMOLINA
WA9505207OtherBLUE CROSS HERITAGE
WA0058885OtherDEPT. OF LABOR & INDUSTRI
WA52580126OtherCOMMUNITY HEALTH PLAN
WA9505207Medicaid
WA9505207OtherDSHS
WA9505207Medicaid