Provider Demographics
NPI:1629061510
Name:FRANKLIN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:FRANKLIN COUNTY HEALTH DEPARTMENT
Other - Org Name:FRANKLIN COUNTY HOME HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:EARLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-564-7383
Mailing Address - Street 1:851 EAST WEST CONNECTOR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601
Mailing Address - Country:US
Mailing Address - Phone:502-564-7383
Mailing Address - Fax:502-564-9587
Practice Address - Street 1:851 EAST WEST CONNECTOR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601
Practice Address - Country:US
Practice Address - Phone:502-564-7383
Practice Address - Fax:502-564-9587
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKLIN COUNTY HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-25
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY150071251E00000X, 251J00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY34004374Medicaid
KY42002378Medicaid
KY45344710Medicaid
KY187073Medicare PIN