Provider Demographics
NPI:1316950306
Name:STATE OF FRANKLIN BILLING SERVICES, INC
Entity type:Organization
Organization Name:STATE OF FRANKLIN BILLING SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:FILLMORE
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:ATP, RPSGT, CFT'S
Authorized Official - Phone:423-929-3232
Mailing Address - Street 1:313 E SPRINGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1770
Mailing Address - Country:US
Mailing Address - Phone:423-929-3232
Mailing Address - Fax:423-929-3231
Practice Address - Street 1:313 E SPRINGBROOK DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-1770
Practice Address - Country:US
Practice Address - Phone:423-929-3232
Practice Address - Fax:423-929-3231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000895332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0040869OtherWASHINGTON COUNTY CLERK
VA0206009378OtherBOARD OF PHARMACY
TN0000000895OtherDEPARTMENT OF HEALTH
TN0000002459OtherBOARD OF PHARMACY
TN104757631OtherTENNESSEE DEPARTMENT OF REVENUE
TN1455105Medicaid
TN122153OtherCITY OF JOHNSON CITY BUSINESS LICENSE
TN0000002459OtherBOARD OF PHARMACY