MEDICARE: HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LOUISIANA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952525453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LOUISIANA

Provider Business Mailing Address
First Line	:	PO BOX 380
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-0380
Country	:	US
Telephone Number	:	318-346-6681
Fax Number	:	318-346-3330

Provider Business Practice Location Address
First Line	:	427 EVERGREEN ST
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-3901
Country	:	US
Telephone Number	:	318-346-6681
Fax Number	:	318-346-3330

Authorized Official
Title or Position	:	CFO
Name	:	MRS. FRANCES DEGLANDON
Credential	:
Telephone Number	:	31834696681

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	06/04/2015

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