ALLEGIANCE HEALTH CENTER OF RUSTON LLC NPI 1831283670

NPI Information

NPI: 1831283670
Provider Name: ALLEGIANCE HEALTH CENTER OF RUSTON, LLC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 19D2098905

Address:
1401 EZELLE ST
RUSTON, LA
ZIP 71270
Phone: (318) 255-8085
Get Directions

ALLEGIANCE HEALTH CENTER OF RUSTON, LLC is a psychiatric hospital in Ruston, LA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. ALLEGIANCE HEALTH CENTER OF RUSTON, LLC NPI is 1831283670. The provider is registered as an organization entity type.

The provider's business location address is:

1401 EZELLE ST
RUSTON, LA
ZIP 71270-218
Phone: (318) 255-8085
Fax: (318) 251-5146

The provider's authorized official is Rock Bordelon .
The authorized official title is Ceo President and has the following contact phone number (318) 226-8202.

The CLIA number assigned to this NPI record is 19D2098905 - other - geri-psych hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 4/16/2008.

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
1	283Q00000X	Psychiatric Hospital				Yes

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
1	1710831	MEDICAID	LOUISIANA
2	194087	MEDICARE OSCAR/CERTIFICATION	LOUISIANA

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: 5/5/2024

NPI Synchronization or Removal

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