MEDICARE: HOSPITAL SERVICE DISTRICT NO. 1

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	282NR1301X	Rural Acute Care Hospital	203	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346554219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITAL SERVICE DISTRICT NO. 1

Provider Business Mailing Address
First Line	:	PO BOX 2668
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70404-2668
Country	:	US
Telephone Number	:	985-230-1682
Fax Number	:	985-230-1617

Provider Business Practice Location Address
First Line	:	17199 SPRING RANCH RD
Second Line	:
City	:	LIVINGSTON
State	:	LA
Zip	:	70754-2900
Country	:	US
Telephone Number	:	985-230-1682
Fax Number	:	985-230-1617

Authorized Official
Title or Position	:	SENIOR VP / CHIEF FINANCIAL OFFICER
Name	:	MS. SHIRLEY HSING
Credential	:
Telephone Number	:	985-230-6603

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	08/03/2010

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