Healthcare Provider Details

I. General information

NPI: 1649815770
Provider Name (Legal Business Name): BON SECOURS MERCY HEALTH FRANKLIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2019
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FAIRVIEW DR
FRANKLIN VA
23851-1238
US

IV. Provider business mailing address

PO BOX 639857
CINCINNATI OH
45263-9857
US

V. Phone/Fax

Practice location:
  • Phone: 757-569-6100
  • Fax:
Mailing address:
  • Phone: 419-996-5119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY RALTON
Title or Position: SYSTEM DIRECTOR
Credential:
Phone: 419-996-5119