Provider Demographics
NPI:1588825996
Name:FAMILY PLANNING CLINIC OF FRANKLIN CO
Entity Type:Organization
Organization Name:FAMILY PLANNING CLINIC OF FRANKLIN CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-629-0300
Mailing Address - Street 1:920 PLAZA DR STE L
Mailing Address - Street 2:
Mailing Address - City:ST CLAIR
Mailing Address - State:MO
Mailing Address - Zip Code:63077-1137
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:920 PLAZA DR STE L
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR
Practice Address - State:MO
Practice Address - Zip Code:63077-1137
Practice Address - Country:US
Practice Address - Phone:636-629-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1013920685Medicaid