EAST CARROLL PARISH HOSPITAL NPI 1710966478

NPI Information

  • NPI: 1710966478
  • Provider Name: EAST CARROLL PARISH HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: FAMILY MEDICAL CLINIC
  • CLIA Number: 19D0464368
  • Address: 326 N HOOD ST
    LAKE PROVIDENCE, LA
    ZIP 71254
  • Phone: (318) 559-4024

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NPI Details

EAST CARROLL PARISH HOSPITAL is a rural health clinic center in Lake Providence, LA. EAST CARROLL PARISH HOSPITAL NPI is 1710966478. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Medical Clinic.

The provider's business location address is:

326 N HOOD ST
LAKE PROVIDENCE, LA
ZIP 71254-140
Phone: (318) 559-4024
Fax: (318) 559-4025

The provider's authorized official is Lindsay Layton .
The authorized official title is Billing Manager and has the following contact phone number (318) 559-3303.

The CLIA number assigned to this NPI record is 19D0464368 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 7/21/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

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
11448061MEDICAIDLOUISIANA

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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