Healthcare Provider Details

I. General information

NPI: 1538152020
Provider Name (Legal Business Name): FRANKLIN HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BAILEY LANE
BENTON IL
62812-0000
US

IV. Provider business mailing address

201 BAILEY LANE
BENTON IL
62812-0000
US

V. Phone/Fax

Practice location:
  • Phone: 618-439-3161
  • Fax: 618-439-4049
Mailing address:
  • Phone: 618-439-3161
  • Fax: 618-439-4049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateIL

VIII. Authorized Official

Name: HOWARD D SCHOU
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 618-439-3161