=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033438627
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANKLIN COUNTY BOARD OF COUNTY COMMISSIONERS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2010
-----------------------------------------------------
Last Update Date | 10/31/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 110 NE 5TH ST
-----------------------------------------------------
City | CARRABELLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32322-3529
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-697-2345
-----------------------------------------------------
Fax | 850-697-2348
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 135 AVENUE G
-----------------------------------------------------
City | APALACHICOLA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32320-1613
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-653-8853
-----------------------------------------------------
Fax | 850-653-2480
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DAVID WALKER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 850-653-8853
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR1300X
-----------------------------------------------------
Taxonomy Name | Rural Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------