Organization
FRANKLIN COUNTY MEMORIAL HOSPITAL
Active
Parent organization
FRANKLIN COUONTY MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANKLIN COUONTY MEMORIAL HOSPITAL
Authorized official
MIKE BOLEWARE (ADMINISTRATOR)
(601) 384-5801
Entity
Organization
Contact information
Practice address
40 UNION CHURCH RD, MEADVILLE, MS 39653-8336
(601) 384-5801
(601) 384-4100
Mailing address
P.O. BOX 636, MEADVILLE, MS 39653
(601) 384-5801
(601) 384-4100
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
11175
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080019
BLUE CROSS BLUE SHIELD
MS
05
—
00029130
—
MS
Enumeration date
09/09/2009
Last updated
02/16/2015
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