Healthcare Provider Details

I. General information

NPI: 1346581261
Provider Name (Legal Business Name): FRANKLIN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 07/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CENTRAL AVE E
HAMPTON IA
50441-1858
US

IV. Provider business mailing address

1600 CENTRAL AVE E
HAMPTON IA
50441-1858
US

V. Phone/Fax

Practice location:
  • Phone: 641-456-5820
  • Fax: 641-456-5834
Mailing address:
  • Phone: 641-456-5820
  • Fax: 641-456-5834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateIA

VIII. Authorized Official

Name: CHRISTA WIARDA
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 641-456-5820