Provider Demographics
NPI:1326742917
Name:FRANKLINTON RURAL HEALTH CLINIC LLC
Entity Type:Organization
Organization Name:FRANKLINTON RURAL HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-634-3050
Mailing Address - Street 1:217 CHEROKEE ROSE LN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7201
Mailing Address - Country:US
Mailing Address - Phone:985-634-3050
Mailing Address - Fax:
Practice Address - Street 1:2219 MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-3604
Practice Address - Country:US
Practice Address - Phone:985-634-3050
Practice Address - Fax:877-602-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care