MEDICARE: HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH

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	261QR1300X	Rural Health Clinic/Center	231RHC-1	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1275640070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH

Provider Business Mailing Address
First Line	:	187 NINTH STREET
Second Line	:	PO BOX 2780
City	:	JENA
State	:	LA
Zip	:	71342-2780
Country	:	US
Telephone Number	:	318-992-9200
Fax Number	:	318-992-9280

Provider Business Practice Location Address
First Line	:	2801 FOURTH ST
Second Line	:
City	:	JONESVILLE
State	:	LA
Zip	:	71343-2004
Country	:	US
Telephone Number	:	318-339-9990
Fax Number	:	318-339-9915

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MRS. ALLYSON C FANNIN
Credential	:	CPA, CFO
Telephone Number	:	318-992-9200

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1760536692 — MRS. BEVERLY A. ALEXANDER M.S.
Practice Location Address:

2801 FOURTH ST , SUITE 2
JONESVILLE, LA
71343-2004

Practice Phone: 318-339-8553
Practice Fax: 318-339-8554

1427102037 — MRS. SUSAN SCOTT BEAN R.N.
Practice Location Address:

2801 FOURTH ST , SUITE 2
JONESVILLE, LA
71343-2004

Practice Phone: 318-339-8553
Practice Fax: 318-339-8554

1699234575 — MACKENZIE DENISE CEASAR
Practice Location Address:

2803 FOURTH ST
JONESVILLE, LA
71343-2004

Practice Phone: 318-240-3779
Practice Fax:

1790742948 — COMMCARE CORPORATION
Practice Location Address:

3025 FOURTH ST
JONESVILLE, LA
71343-2404

Practice Phone: 318-339-4344
Practice Fax: 318-339-4848

1396794723 — SUSAN A DAVIS FNP
Practice Location Address:

2801 FOURTH ST STE 2
JONESVILLE, LA
71343-2027

Practice Phone: 318-339-9901
Practice Fax: 318-339-9941

1215976683 — OLLA PHARMACY, INC.
Practice Location Address:

104 MOUND ST
JONESVILLE, LA
71343-2319

Practice Phone: 318-339-7913
Practice Fax: 318-339-7914

Directions to “HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.