Provider Demographics
NPI:1346696176
Name:FRANKLIN FAMILY PRACTICE INC
Entity Type:Organization
Organization Name:FRANKLIN FAMILY PRACTICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POLICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-280-4930
Mailing Address - Street 1:2213 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-5305
Mailing Address - Country:US
Mailing Address - Phone:515-237-3974
Mailing Address - Fax:515-883-2692
Practice Address - Street 1:813 N LINCOLN ST
Practice Address - Street 2:STE 15
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-1421
Practice Address - Country:US
Practice Address - Phone:515-280-4930
Practice Address - Fax:515-309-0686
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED COMMUNITY SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-11
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility