Healthcare Provider Details

I. General information

NPI: 1023140811
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: 02/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 MAIN ST E
MEADVILLE MS
39653-9233
US

IV. Provider business mailing address

PO BOX 636
MEADVILLE MS
39653-0636
US

V. Phone/Fax

Practice location:
  • Phone: 601-387-3199
  • Fax: 601-384-3950
Mailing address:
  • Phone: 601-384-8112
  • Fax: 601-384-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ALEDA J DILLON
Title or Position: REVENUE CYCLE DIRECTOR
Credential:
Phone: 601-384-8112