Provider Demographics
NPI:1689605859
Name:HOSPICE OF FRANKLIN COUNTY, INC.
Entity Type:Organization
Organization Name:HOSPICE OF FRANKLIN COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GABERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:413-774-2400
Mailing Address - Street 1:329 CONWAY ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1526
Mailing Address - Country:US
Mailing Address - Phone:413-774-2400
Mailing Address - Fax:413-774-2455
Practice Address - Street 1:329 CONWAY ST
Practice Address - Street 2:SUITE 2
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1526
Practice Address - Country:US
Practice Address - Phone:413-774-2400
Practice Address - Fax:413-774-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7AG5251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA625667OtherTUFTS HEALTH PLAN
MA0608432Medicaid
MA221561OtherBLUE CROSS BLUE SHIELD
MA000000030959OtherHEALTH NET PLAN
MA0608432Medicaid
MA=========GROUP#06136OtherGIC INDEMNITY