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NPI 1831144054

NPI 1831144054 : FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1 : NEWELLTON, LA

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General NPI Number Information
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    NPI Number           |    1831144054
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    11/05/2018
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Provider Practice Location Address
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    Address Line         |    104 VERONA STREET 
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    City                 |    NEWELLTON
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    State                |    LA
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    Zip                  |    71357
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    Country              |    US
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    Telephone            |    318-467-9949
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    Fax                  |    318-467-2093
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Provider Business Mailing Address
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    Address Line         |    104 VERONA STREET 
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    City                 |    NEWELLTON
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    State                |    LA
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    Zip                  |    71357
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    Country              |    US
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    Telephone            |    318-467-9949
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    Fax                  |    318-467-2093
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. MICHAEL BLAKE KRAMER 
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    Credential           |    
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    Telephone            |    318-412-5265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    181RHC-1
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    License Number State |    LA
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