Provider Demographics
NPI:1376738054
Name:BENTON FRANKLIN HEALTH DISTRICT
Entity Type:Organization
Organization Name:BENTON FRANKLIN HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREVENTATIVE HEALTH SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:509-943-2614
Mailing Address - Street 1:471 WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354-3269
Mailing Address - Country:US
Mailing Address - Phone:509-943-2614
Mailing Address - Fax:509-546-2916
Practice Address - Street 1:471 WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354-3269
Practice Address - Country:US
Practice Address - Phone:509-943-2614
Practice Address - Fax:509-546-2916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA124Q00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare