MEDICARE: FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902851124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN PARISH HOSPITAL SERVICE DISTRICT NO1

Provider Business Mailing Address
First Line	:	2104 LOOP RD STE C
Second Line	:
City	:	WINNSBORO
State	:	LA
Zip	:	71295-3341
Country	:	US
Telephone Number	:	318-435-4571
Fax Number	:	318-435-7458

Provider Business Practice Location Address
First Line	:	2104 LOOP RD STE C
Second Line	:
City	:	WINNSBORO
State	:	LA
Zip	:	71295-3341
Country	:	US
Telephone Number	:	318-435-4571
Fax Number	:	318-435-7458

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. MICHAEL BLAKE KRAMER
Credential	:
Telephone Number	:	318-412-5265

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/03/2020

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