MADISON PARISH HOSPITAL SERVICE DISTRICT NPI 1053575043

NPI Information

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 Is Doing Business As Madison Parish Hospital Rural Health Clinc.

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 William Robert Laurents .
The authorized official title is Cfo and has the following contact phone number (318) 574-2374.

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 3/21/2023.

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:

Other Identifiers

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

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