Healthcare Provider Details

I. General information

NPI: 1215069018
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: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 UNION CHURCH RD
MEADVILLE MS
39653-8336
US

IV. Provider business mailing address

PO BOX 636
MEADVILLE MS
39653-0636
US

V. Phone/Fax

Practice location:
  • Phone: 601-384-8100
  • Fax: 601-384-4100
Mailing address:
  • Phone: 601-384-8100
  • Fax: 601-384-4100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number11175
License Number StateMS

VIII. Authorized Official

Name: ALEDA JEAN DILLON
Title or Position: INSURANCE DIRECTOR
Credential:
Phone: 601-384-8112