Healthcare Provider Details

I. General information

NPI: 1417032251
Provider Name (Legal Business Name): FRANKLIN COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 W MAIN ST
MALONE NY
12953-1827
US

IV. Provider business mailing address

355 W MAIN ST STE. 425
MALONE NY
12953-1826
US

V. Phone/Fax

Practice location:
  • Phone: 518-481-1709
  • Fax: 518-483-9378
Mailing address:
  • Phone: 518-481-1709
  • Fax: 518-483-9378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number1624200R
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNY

VIII. Authorized Official

Name: KATHLEEN FARRELL STRACK
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential:
Phone: 518-481-1709