Provider Demographics
NPI:1164428413
Name:FRANKLIN COUNTY
Entity Type:Organization
Organization Name:FRANKLIN COUNTY
Other - Org Name:FRANKLIN COUNTY PUBLIC HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRELL STRACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-481-1709
Mailing Address - Street 1:355 W MAIN ST
Mailing Address - Street 2:STE 425
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-1826
Mailing Address - Country:US
Mailing Address - Phone:518-481-1709
Mailing Address - Fax:518-483-9378
Practice Address - Street 1:355 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1827
Practice Address - Country:US
Practice Address - Phone:518-481-1709
Practice Address - Fax:518-483-9378
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKLIN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-06-22
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251B00000X, 252Y00000X
NY1624600251E00000X
NY1624200R251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04034497Medicaid
NY00321962Medicaid
NYBB9980Medicare Oscar/Certification
NY00321962Medicaid