IHSC @ LASALLE DETENTION FACILITY NPI 1477894905

NPI Information

  • NPI: 1477894905
  • Provider Name: IHSC @ LASALLE DETENTION FACILITY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Other Name: STG INTERNATIONAL
  • Address: 830 PINEHILL RD
    JENA, LA
    ZIP 71342
  • Phone: (318) 992-7613

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NPI Details

IHSC @ LASALLE DETENTION FACILITY is a family nurse practitioner in Jena, LA. IHSC @ LASALLE DETENTION FACILITY NPI is 1477894905. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Stg International.

The provider's business location address is:

830 PINEHILL RD
JENA, LA
ZIP 71342-137
Phone: (318) 992-7613

The provider's authorized official is Roger Ballard .
The authorized official title is Cdr and has the following contact phone number (318) 992-7612.

The enumeration date for this NPI number is 3/7/2013 and was last updated on 3/8/2013.

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
1363LF0000XNurse PractitionerFamilyAP06993LOUISIANAYes

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: 11/21/2025

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