Healthcare Provider Details

I. General information

NPI: 1699895953
Provider Name (Legal Business Name): HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. MARY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1097 NORTHWEST BLVD
FRANKLIN LA
70538-3407
US

IV. Provider business mailing address

PO BOX 577
FRANKLIN LA
70538-0577
US

V. Phone/Fax

Practice location:
  • Phone: 337-828-5099
  • Fax: 337-828-5246
Mailing address:
  • Phone: 337-828-0760
  • Fax: 337-828-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number016556
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. STEPHANIE A GUIDRY
Title or Position: CEO
Credential:
Phone: 337-828-0760