Lasalle Parish Hospital Service District #1

NPI 1053415745 - Clinic/Center - 261QR1300X

NPI Details
NPI 1053415745
Enumeration Date 09/12/2006
Last Updated 05/06/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PAUL G PAUL
Position ADMINISTRATOR
Phone (318) 495-3880
Fax (318) 495-3882
Practice Location
1049 NORTH PINE ROAD
OLLA LA, 71465, US
Phone (318) 495-3880
Fax (318) 495-3882
Business Location
1136A N. PINE RD.
OLLA LA, 71465, US
Phone (318) 495-3880
Fax (318) 495-3882
Toxanomy
Taxonomy Code 261QR1300X
License State Louisiana
License Number 178RHC-1
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According to our database, Lasalle Parish Hospital Service District #1 NPI is 1053415745, taxonomy code is 261QR1300X and license number is 178RHC-1, license state is located at Louisiana. Lasalle Parish Hospital Service District #1 physically located at 1049 North Pine Road, Olla LA, 71465. NPI Number 1033115704 has the healthcare provider type.

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1053415745 NPI number is provided on an as is basis without warranty of any kind. 1053415745 is maintained by the National Plan & Provider Enumeration System. The contents of Lasalle Parish Hospital Service District #1 are for informational purposes only.