Healthcare Provider Details

I. General information

NPI: 1811171085
Provider Name (Legal Business Name): STERLINGTON CRITICAL ACCESS HOSPITAL, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 06/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 DAVENPORT STREET
MER ROUGE LA
71261
US

IV. Provider business mailing address

220 W DAVENPORT AVE
MER ROUGE LA
71261-3903
US

V. Phone/Fax

Practice location:
  • Phone: 318-647-3142
  • Fax: 318-647-5542
Mailing address:
  • Phone: 318-647-3412
  • Fax: 318-647-5542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateLA

VIII. Authorized Official

Name: CATHERINE M WALDROP
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-665-9950