Healthcare Provider Details

I. General information

NPI: 1821927070
Provider Name (Legal Business Name): FRANKLIN COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 N STATE ST
PRESTON ID
83263-1143
US

IV. Provider business mailing address

44 N 1ST E
PRESTON ID
83263-1326
US

V. Phone/Fax

Practice location:
  • Phone: 208-852-4120
  • Fax:
Mailing address:
  • Phone: 208-852-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SHENANDOAH LAYNE TROUMBLEY
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 208-852-4125