Provider Demographics
NPI:1831144054
Name:FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1
Entity Type:Organization
Organization Name:FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1
Other - Org Name:FRANKLIN MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-412-5265
Mailing Address - Street 1:104 VERONA STREET
Mailing Address - Street 2:
Mailing Address - City:NEWELLTON
Mailing Address - State:LA
Mailing Address - Zip Code:71357
Mailing Address - Country:US
Mailing Address - Phone:318-467-9949
Mailing Address - Fax:318-467-2093
Practice Address - Street 1:104 VERONA STREET
Practice Address - Street 2:
Practice Address - City:NEWELLTON
Practice Address - State:LA
Practice Address - Zip Code:71357
Practice Address - Country:US
Practice Address - Phone:318-467-9949
Practice Address - Fax:318-467-2093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA181RHC-1261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1440990Medicaid
LA193442Medicare Oscar/Certification