Healthcare Provider Details

I. General information

NPI: 1962488635
Provider Name (Legal Business Name): FRANKLIN HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 09/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FAIRVIEW DR
FRANKLIN VA
23851-1238
US

IV. Provider business mailing address

PO BOX 503412
SAINT LOUIS MO
63150-0001
US

V. Phone/Fax

Practice location:
  • Phone: 757-569-6126
  • Fax: 757-569-6451
Mailing address:
  • Phone: 660-826-5960
  • Fax: 660-826-4852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE T BREWER
Title or Position: MBA, DIRECTOR, PROVIDER ENROLLMENT
Credential:
Phone: 615-465-7626