Provider Demographics
NPI:1265649362
Name:FRANKLIN HOSPITAL
Entity Type:Organization
Organization Name:FRANKLIN HOSPITAL
Other - Org Name:ORZAC DIVISION ADHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUTHARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-256-6502
Mailing Address - Street 1:900 FRANKLIN AVE
Mailing Address - Street 2:ORZAC ADMINSTRATION
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2145
Mailing Address - Country:US
Mailing Address - Phone:516-256-6502
Mailing Address - Fax:516-256-6601
Practice Address - Street 1:900 FRANKLIN AVE
Practice Address - Street 2:ORZAC ADMINSTRATION
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2145
Practice Address - Country:US
Practice Address - Phone:516-256-6502
Practice Address - Fax:516-256-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01543815314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01543815Medicaid