=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063466753
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/19/2006
-----------------------------------------------------
Last Update Date | 08/03/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 448 NEWTON ST
-----------------------------------------------------
City | SAINT JOSEPH
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71366-4330
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-766-8506
-----------------------------------------------------
Fax | 318-766-8571
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 448 NEWTON ST
-----------------------------------------------------
City | SAINT JOSEPH
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71366-4330
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-766-8506
-----------------------------------------------------
Fax | 318-766-8571
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. MICHAEL BLAKE KRAMER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 318-412-5265
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR1300X
-----------------------------------------------------
Taxonomy Name | Rural Health Clinic/Center
-----------------------------------------------------
License Number | 181RHC-2
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------