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NPI Code Detail

MEDICARE: FRANKLIN HOSPITAL DISTRICT

MEDICARE: FRANKLIN HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1033140488
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANKLIN HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 201 BAILEY LANE
Second Line :
City : BENTON
State : IL
Zip : 62812-0000
Country : US
Telephone Number : 618-439-3161
Fax Number : 618-439-4049
Provider Business Practice Location Address
First Line : 201 BAILEY LANE
Second Line :
City : BENTON
State : IL
Zip : 62812-0000
Country : US
Telephone Number : 618-439-3161
Fax Number : 618-439-4049
Authorized Official
Title or Position : CFO
Name : RIKKI BONTHRON
Credential :
Telephone Number : 618-439-3161
Provider Enumeration Date : 07/05/2006
Last Update Date : 02/25/2019

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Directions to “FRANKLIN HOSPITAL DISTRICT ” Practice Location

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