Provider Demographics
NPI:1205401528
Name:FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
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:850-653-1216
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:850-697-2367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106362400Medicaid