Healthcare Provider Details

I. General information

NPI: 1427019991
Provider Name (Legal Business Name): SPECIALTY HOSPITAL OF WINNFIELD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 05/28/2013
Certification Date:
Deactivation Date: 05/08/2013
Reactivation Date: 05/28/2013

III. Provider practice location address

915 1ST ST
WINNFIELD LA
71483-2945
US

IV. Provider business mailing address

915 1ST ST
WINNFIELD LA
71483-2945
US

V. Phone/Fax

Practice location:
  • Phone: 318-648-0212
  • Fax: 318-648-1316
Mailing address:
  • Phone: 318-648-0212
  • Fax: 318-648-1316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM H. MEANS JR.
Title or Position: SECRETARY / TREASURER
Credential:
Phone: 318-742-3408