Healthcare Provider Details

I. General information

NPI: 1821459835
Provider Name (Legal Business Name): CATAHOULA PARISH HOSPITAL NO. 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 05/09/2022
Certification Date: 05/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 CHISUM ST
SICILY ISLAND LA
71368-4807
US

IV. Provider business mailing address

302 BUSHLEY ST
HARRISONBURG LA
71340-1656
US

V. Phone/Fax

Practice location:
  • Phone: 318-389-5727
  • Fax: 318-389-4028
Mailing address:
  • Phone: 318-389-5727
  • Fax: 318-389-4028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number018530
License Number StateLA

VIII. Authorized Official

Name: MS. DEBRA K MIESCH
Title or Position: CEO
Credential: MBA
Phone: 318-389-5727