MEDICARE: FRANKLIN COUNTY MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363A00000X	Physician Assistant
3	363L00000X	Nurse Practitioner
4	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1346808607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN COUNTY MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	1406 Q ST
Second Line	:
City	:	FRANKLIN
State	:	NE
Zip	:	68939-1073
Country	:	US
Telephone Number	:	308-425-6221
Fax Number	:	308-425-3164

Provider Business Practice Location Address
First Line	:	313 N WEBSTER ST
Second Line	:
City	:	RED CLOUD
State	:	NE
Zip	:	68970-2549
Country	:	US
Telephone Number	:	402-746-2282
Fax Number	:	402-746-2300

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	MS. THERESA RIZZO
Credential	:
Telephone Number	:	308-425-6221

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	06/03/2019

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Directions to “FRANKLIN COUNTY MEMORIAL HOSPITAL ” Practice Location

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