# FRANKLIN HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FAMILY HEALTHCARE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255369427
- **Authorized official:** RIKKI BONTHRON (CFO)
- **Authorized official phone:** (618) 439-3161

## Contact information

- **Practice address:** 201 BAILEY LANE, BENTON, IL 62812-0000
- **Practice address phone:** (618) 439-3161
- **Practice address fax:** (618) 439-4049
- **Mailing address:** 201 BAILEY LANE, BENTON, IL 62812-0000
- **Mailing address phone:** (618) 439-3161
- **Mailing address fax:** (618) 439-4049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036085111 | IL | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | 085002236 | IL | — |
| 363LF0000X | Family Nurse Practitioner | 209005496 | IL | — |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 02/25/2019