Healthcare Provider Details

I. General information

NPI: 1295866168
Provider Name (Legal Business Name): FRANKLIN COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115B HIGHWAY 556
MEADVILLE MS
39653
US

IV. Provider business mailing address

PO BOX 428
MEADVILLE MS
39653-0428
US

V. Phone/Fax

Practice location:
  • Phone: 601-384-2396
  • Fax: 601-384-3648
Mailing address:
  • Phone: 601-384-2396
  • Fax: 601-384-3648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberI8292
License Number StateMS

VIII. Authorized Official

Name: ALEDA JEAN DILLON
Title or Position: BUSINESS OFFICE/REV CYCLE DIRECTOR
Credential:
Phone: 601-384-8112