Provider Demographics
NPI:1154576304
Name:FRANKLIN SQUARE HOSPITAL CENTER INC
Entity type:Organization
Organization Name:FRANKLIN SQUARE HOSPITAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, PROFESSIONAL FEE BILLING
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-777-7142
Mailing Address - Street 1:9103 FRANKLIN SQUARE DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3900
Mailing Address - Country:US
Mailing Address - Phone:443-777-2475
Mailing Address - Fax:443-777-6362
Practice Address - Street 1:9103 FRANKLIN SQUARE DR
Practice Address - Street 2:SUITE 303
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3900
Practice Address - Country:US
Practice Address - Phone:443-777-2475
Practice Address - Fax:443-777-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDN432OtherCAREFIRST BLUECHOICE/DC
MDF7GPGEOtherCAREFIRST BC/BS MARYLAND
MDF7GPGEOtherCAREFIRST BC/BS MARYLAND