Provider Demographics
NPI:1427133263
Name:FRANKLIN COUNTY
Entity type:Organization
Organization Name:FRANKLIN COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRELL STRACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-481-1709
Mailing Address - Street 1:355 W MAIN ST
Mailing Address - Street 2:STE. 425
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-1826
Mailing Address - Country:US
Mailing Address - Phone:518-481-1709
Mailing Address - Fax:518-483-9378
Practice Address - Street 1:355 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1827
Practice Address - Country:US
Practice Address - Phone:518-481-1709
Practice Address - Fax:518-483-9378
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANKLIN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-26
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1624200R251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00321962Medicaid
NY04034497Medicaid
NYP00205808Medicare UPIN
NY04034497Medicaid