MADISON PARISH HOSPITAL SERVICE DISTRICT NPI 1053575043

NPI Information

  • NPI: 1053575043
  • Provider Name: MADISON PARISH HOSPITAL SERVICE DISTRICT
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • CLIA Number: 19D0674847
  • Address: 900 JOHNSON ST STE A
    TALLULAH, LA
    ZIP 71282
  • Phone: (318) 574-3575

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NPI Details

MADISON PARISH HOSPITAL SERVICE DISTRICT is a rural health clinic center in Tallulah, LA. MADISON PARISH HOSPITAL SERVICE DISTRICT NPI is 1053575043. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

900 JOHNSON ST STE A
TALLULAH, LA
ZIP 71282-537
Phone: (318) 574-3575
Fax: (318) 574-5052

The provider's authorized official is Satira T Perry .
The authorized official title is Interim Ceo and has the following contact phone number (318) 574-5080.

The CLIA number assigned to this NPI record is 19D0674847 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2008 and was last updated on 3/17/2025.

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 Health143-RHC-2LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12112023MEDICAIDLOUISIANA

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: 3/30/2025

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