Provider Demographics
NPI: | 1245411875 |
---|---|
Name: | FRANKLIN SQUARE HOSPITAL CENTER INC |
Entity Type: | Organization |
Organization Name: | FRANKLIN SQUARE HOSPITAL CENTER INC |
Other - Org Name: | DEPARTMENT OF SURGERY |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | MANAGER, PROFESSIONAL FEE BILLING |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LISA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SHARKEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 443-777-7142 |
Mailing Address - Street 1: | 9000 FRANKLIN SQUARE DR |
Mailing Address - Street 2: | |
Mailing Address - City: | BALTIMORE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21237-3901 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 443-777-7000 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 9000 FRANKLIN SQUARE DR |
Practice Address - Street 2: | |
Practice Address - City: | BALTIMORE |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21237-3901 |
Practice Address - Country: | US |
Practice Address - Phone: | 443-777-7000 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-11-26 |
Last Update Date: | 2007-11-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Single Specialty |