Healthcare Provider Details

I. General information

NPI: 1174586283
Provider Name (Legal Business Name): HOSPITAL SERVICE DISTRICT NO 1-A OF THE PARISH OF RICHLAND STATE OF LA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 BROADWAY ST
DELHI LA
71232-3002
US

IV. Provider business mailing address

508 BROADWAY ST
DELHI LA
71232-3002
US

V. Phone/Fax

Practice location:
  • Phone: 318-878-3737
  • Fax: 318-878-8638
Mailing address:
  • Phone: 318-878-3737
  • Fax: 318-878-8638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number119RHC-1
License Number StateLA

VIII. Authorized Official

Name: MRS. MILDRED JINGER GREER
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-878-6398