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DEPARTMENT OF HEALTH AND HOSPITALS NPI 1174589022


NPI Information

NPI: 1174589022
Provider Name: DEPARTMENT OF HEALTH AND HOSPITALS

Doing Business As: OBH-BASTROP ADDICTIVE DISORDERS CLINIC

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
320 S FRANKLIN ST
BASTROP, LA
ZIP 71220
Phone: (318) 283-0868
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DEPARTMENT OF HEALTH AND HOSPITALS is an addiction (substance use disorder) counselor in Bastrop, LA. DEPARTMENT OF HEALTH AND HOSPITALS NPI is 1174589022. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Obh-bastrop Addictive Disorders Clinic.

The provider's business location address is:

320 S FRANKLIN ST
BASTROP, LA
ZIP 71220-539
Phone: (318) 283-0868
Fax: (318) 283-0875

The provider's authorized official is Phyllis Jerri Parks .
The authorized official title is Oad/regional Administrator and has the following contact phone number (318) 362-3270.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 8/25/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)RAC1081LOUISIANANo
2261QM1300XClinic/CenterMulti-SpecialtyMD014425LOUISIANANo
3101YA0400XCounselorAddiction (Substance Use Disorder)LAC1076LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CV10MEDICARE PINLOUISIANA
2G3195OTHERLOUISIANABCBS

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: 4/28/2024

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