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NPI Code Detail

MEDICARE: BRFHH MONROE LLC

MEDICARE: BRFHH MONROE LLC
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
1282N00000XGeneral Acute Care Hospital2203782025LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215939210
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRFHH MONROE LLC
Provider Business Mailing Address
First Line : 4864 JACKSON ST
Second Line : HOSPITAL ADMINISTRATION
City : MONROE
State : LA
Zip : 71202-6400
Country : US
Telephone Number : 318-330-7000
Fax Number : 318-330-7591
Provider Business Practice Location Address
First Line : 4864 JACKSON ST
Second Line : HOSPITAL ADMINISTRATION
City : MONROE
State : LA
Zip : 71202-6400
Country : US
Telephone Number : 318-330-7528
Fax Number : 318-330-7591
Authorized Official
Title or Position : DIRECTOR
Name : MRS. MITZI GREEN
Credential :
Telephone Number : 318-519-8816
Provider Enumeration Date : 08/10/2005
Last Update Date : 10/19/2022

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