Healthcare Provider Details

I. General information

NPI: 1447237177
Provider Name (Legal Business Name): HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S MORRISON BLVD
HAMMOND LA
70403-5742
US

IV. Provider business mailing address

PO BOX 2668
HAMMOND LA
70404-2668
US

V. Phone/Fax

Practice location:
  • Phone: 985-345-2700
  • Fax: 985-230-6653
Mailing address:
  • Phone: 985-345-2700
  • Fax: 985-230-6653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number203-C
License Number StateLA

VIII. Authorized Official

Name: MRS. SHIRLEY HSING
Title or Position: CFO
Credential:
Phone: 985-230-6603