Healthcare Provider Details

I. General information

NPI: 1952565335
Provider Name (Legal Business Name): CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6569 HIGHWAY 84
FERRIDAY LA
71334-4573
US

IV. Provider business mailing address

PO BOX 111
FERRIDAY LA
71334-0111
US

V. Phone/Fax

Practice location:
  • Phone: 318-757-6551
  • Fax: 318-757-8632
Mailing address:
  • Phone: 318-757-6551
  • Fax: 318-757-6832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number247
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NEKEISHA L SMITH
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-757-6551