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General NPI Number Information
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NPI Number | 1053575043
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Entity Type | Organization
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Legal Business Name | MADISON PARISH HOSPITAL SERVICE DISTRICT
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 900 JOHNSON ST STE A
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City | TALLULAH
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State | LA
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Zip | 71282-4537
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Country | US
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Telephone | 318-574-3575
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Fax | 318-574-5052
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Provider Business Mailing Address
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Address Line | 808 JOHNSON ST
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City | TALLULAH
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State | LA
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Zip | 71282-4535
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Country | US
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Telephone | 318-574-3575
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Fax | 318-574-5052
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Authorized Official
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Title or Position | INTERIM CEO
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Name | SATIRA T PERRY
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Credential | MD
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Telephone | 318-574-5080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 143-RHC-2
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License Number State | LA
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