Healthcare Provider Details

I. General information

NPI: 1699011882
Provider Name (Legal Business Name): FRANKLIN HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2012
Last Update Date: 12/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W FRANKLIN ST
SESSER IL
62884-1456
US

IV. Provider business mailing address

201 BAILEY LN
BENTON IL
62812-1969
US

V. Phone/Fax

Practice location:
  • Phone: 618-625-5061
  • Fax: 618-625-6738
Mailing address:
  • Phone: 618-439-3161
  • Fax: 618-435-2969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number0005231
License Number StateIL

VIII. Authorized Official

Name: MR. MICHAEL J. BUDNICK
Title or Position: CHIEF OPERATING OFFICER/CLINIC MGR
Credential:
Phone: 618-439-3161