Healthcare Provider Details

I. General information

NPI: 1942257423
Provider Name (Legal Business Name): STERLINGTON CRITICAL ACCESS HOSPITAL, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 04/23/2020
Certification Date: 04/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 W HICKORY AVE
BASTROP LA
71220-4442
US

IV. Provider business mailing address

PO BOX 627
STERLINGTON LA
71280-0627
US

V. Phone/Fax

Practice location:
  • Phone: 318-665-9950
  • Fax: 318-665-9906
Mailing address:
  • Phone: 186-659-9503
  • Fax: 318-665-0379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number457
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number2203781103
License Number StateLA

VIII. Authorized Official

Name: CATHERINE MARTIN WALDROP
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-665-9950