Provider Demographics
NPI:1699011882
Name:FRANKLIN HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:FRANKLIN HOSPITAL DISTRICT
Other - Org Name:FRANKLIN HOSPITAL INTERNAL MEDICINE CENTER OF SESSER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OPERATING OFFICER/CLINIC MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUDNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-439-3161
Mailing Address - Street 1:201 BAILEY LN
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:IL
Mailing Address - Zip Code:62812-1969
Mailing Address - Country:US
Mailing Address - Phone:618-439-3161
Mailing Address - Fax:618-435-2969
Practice Address - Street 1:107 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SESSER
Practice Address - State:IL
Practice Address - Zip Code:62884-1456
Practice Address - Country:US
Practice Address - Phone:618-625-5061
Practice Address - Fax:618-625-6738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0005231261QC0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital