Healthcare Provider Details

I. General information

NPI: 1437311594
Provider Name (Legal Business Name): MEDICAL STAFF SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 11/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5266 COMMERCE ST
ST FRANCISVILLE LA
70775-0368
US

IV. Provider business mailing address

PO BOX 368 5266 COMMERCE ST
SAINT FRANCISVILLE LA
70775-0368
US

V. Phone/Fax

Practice location:
  • Phone: 225-635-3811
  • Fax: 225-784-3461
Mailing address:
  • Phone: 225-635-3811
  • Fax: 225-784-3461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number116
License Number StateLA

VIII. Authorized Official

Name: MR. LEDOUX CHASTANT
Title or Position: ADMINISTRATOR
Credential:
Phone: 225-635-3811