Healthcare Provider Details

I. General information

NPI: 1891499356
Provider Name (Legal Business Name): CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 03/29/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 EE WALLACE BLVD N
FERRIDAY LA
71334-2265
US

IV. Provider business mailing address

PO BOX 8
SICILY ISLAND LA
71368-0008
US

V. Phone/Fax

Practice location:
  • Phone: 318-389-5727
  • Fax: 318-389-9943
Mailing address:
  • Phone: 318-389-5727
  • Fax: 318-389-9943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE PRICE BROWN
Title or Position: BILLING SUPERVISOR/CREDENTIALING
Credential:
Phone: 318-389-5727