Healthcare Provider Details

I. General information

NPI: 1093933897
Provider Name (Legal Business Name): NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 06/26/2020
Certification Date: 06/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3194 HWY 71
CAMPTI LA
71411
US

IV. Provider business mailing address

PO BOX 2475
NATCHITOCHES LA
71457-2475
US

V. Phone/Fax

Practice location:
  • Phone: 318-214-4200
  • Fax: 318-214-4493
Mailing address:
  • Phone: 318-663-6131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM B MCCORMICK
Title or Position: C F O
Credential:
Phone: 318-214-4350