Healthcare Provider Details

I. General information

NPI: 1043218365
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: 07/11/2005
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: 337-828-0760
  • Fax: 337-828-5024
Mailing address:
  • Phone: 337-828-0760
  • Fax: 337-828-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number627
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number123
License Number StateLA

VIII. Authorized Official

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