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NPI Code Detail

MEDICARE: WEST FELICIANA PARISH HOSPITAL PHYSICIAN CLINIC

MEDICARE: WEST FELICIANA PARISH HOSPITAL PHYSICIAN CLINIC
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
1207Q00000XFamily Medicine Physician
22080A0000XPediatric Adolescent Medicine Physician

General Provider Information

NPI Number : 1164700118
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST FELICIANA PARISH HOSPITAL PHYSICIAN CLINIC
Provider Business Mailing Address
First Line : PO BOX 487
Second Line :
City : SAINT FRANCISVILLE
State : LA
Zip : 70775-0487
Country : US
Telephone Number : 225-635-5848
Fax Number :
Provider Business Practice Location Address
First Line : 5326 OAK ST
Second Line :
City : SAINT FRANCISVILLE
State : LA
Zip : 70775-4510
Country : US
Telephone Number : 225-635-5848
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MS. KATHY M CHEATHAM
Credential :
Telephone Number : 225-635-3811
Provider Enumeration Date : 07/25/2011
Last Update Date : 07/25/2011

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Directions to “WEST FELICIANA PARISH HOSPITAL PHYSICIAN CLINIC ” Practice Location

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