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General NPI Number Information
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NPI Number | 1437927431
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Entity Type | Organization
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Legal Business Name | FRANKLIN COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 122 N STATE ST
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City | PRESTON
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State | ID
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Zip | 83263-8326
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Country | US
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Telephone | 208-852-1937
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Fax |
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Provider Business Mailing Address
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Address Line | 44 N 1ST E
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City | PRESTON
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State | ID
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Zip | 83263
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Country | US
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Telephone | 208-852-0137
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | PAUL SMART
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Credential |
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Telephone | 208-852-0137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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