Organization Name: | FRANKLIN COUNTY MEDICAL CENTER |
NPI Number: | 1144663543 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA HARRIS (CLINIC BILLER) |
Mailing Address: | 47 N 1st E Preston |
State: | ID US |
Postal Code: | 832631325 |
Phone Number: | 2088520137 |
Fax Number: | 2088523812 |
NPI Enumeration Date: | 04/16/2013 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |