Provider Demographics
NPI:1346581261
Name:FRANKLIN COUNTY
Entity Type:Organization
Organization Name:FRANKLIN COUNTY
Other - Org Name:FRANKLIN COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:WIARDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:641-456-5820
Mailing Address - Street 1:1600 CENTRAL AVE E
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50441-1858
Mailing Address - Country:US
Mailing Address - Phone:641-456-5820
Mailing Address - Fax:641-456-5834
Practice Address - Street 1:1600 CENTRAL AVE E
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50441-1858
Practice Address - Country:US
Practice Address - Phone:641-456-5820
Practice Address - Fax:641-456-5834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1346581261OtherBLUE CROSS BLUE SHIELD
IA1346581261Medicaid