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DESOTO HOSPITAL ASSOCIATION NPI 1043580624


NPI Information

NPI: 1043580624
Provider Name: DESOTO HOSPITAL ASSOCIATION

Doing Business As: DESOTO REGIONAL FAMILY MEDICINE-MANSFIELD

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
130 JEFFERSON ST
MANSFIELD, LA
ZIP 71052
Phone: (318) 872-2700
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DESOTO HOSPITAL ASSOCIATION is a rural health clinic center in Mansfield, LA. DESOTO HOSPITAL ASSOCIATION NPI is 1043580624. The provider is registered as an organization entity type.
The provider Is Doing Business As Desoto Regional Family Medicine-mansfield.

The provider's business location address is:

130 JEFFERSON ST
MANSFIELD, LA
ZIP 71052-602
Phone: (318) 872-2700
Fax: (318) 872-6214

The provider's authorized official is Hallie Deutsch .
The authorized official title is Credentialing Specialist and has the following contact phone number (318) 871-3101.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 5/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health229RHC-3LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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