MEDICARE: THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital	116	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04656	OTHER	LA	BLUE CROSS PHYSICIAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164497533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA

Provider Business Mailing Address
First Line	:	PO BOX 368
Second Line	:	5266 COMMERCE STREET
City	:	SAINT FRANCISVILLE
State	:	LA
Zip	:	70775-0368
Country	:	US
Telephone Number	:	225-635-3811
Fax Number	:	225-784-3461

Provider Business Practice Location Address
First Line	:	5266 COMMERCE ST
Second Line	:
City	:	SAINT FRANCISVILLE
State	:	LA
Zip	:	70775-4409
Country	:	US
Telephone Number	:	225-635-3811
Fax Number	:	225-784-3461

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. LEDOUX CHASTANT
Credential	:
Telephone Number	:	225-635-3811

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	11/09/2018

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