Provider Demographics
NPI:1649516899
Name:FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Entity type:Organization
Organization Name:FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-653-8853
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:APALACHICOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32329-0580
Mailing Address - Country:US
Mailing Address - Phone:850-653-8853
Mailing Address - Fax:850-653-1879
Practice Address - Street 1:137 12TH STREET
Practice Address - Street 2:
Practice Address - City:APALACHICOLA
Practice Address - State:FL
Practice Address - Zip Code:32320
Practice Address - Country:US
Practice Address - Phone:850-653-1525
Practice Address - Fax:850-653-1548
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-17
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10363261QR1300X, 261QR1300X, 261QU0200X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106170600Medicaid
FL187649OtherWELLCARE
FL261683100Medicaid