MEDICARE: LASALLE HOSPITAL SERVICE DIST #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	282NC0060X	Critical Access Hospital	178	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04820	OTHER	LA	BLUE CROSS ER DOCTOR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871621821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LASALLE HOSPITAL SERVICE DIST #1

Provider Business Mailing Address
First Line	:	1102 N PINE RD
Second Line	:
City	:	OLLA
State	:	LA
Zip	:	71465-4804
Country	:	US
Telephone Number	:	318-495-3131
Fax Number	:	318-495-3229

Provider Business Practice Location Address
First Line	:	1102 N PINE RD
Second Line	:
City	:	OLLA
State	:	LA
Zip	:	71465-4804
Country	:	US
Telephone Number	:	318-495-3131
Fax Number	:	318-495-3229

Authorized Official
Title or Position	:	AMINISTRATIVE ASSISTANT
Name	:	LEANN CUPPLES
Credential	:
Telephone Number	:	318-495-3131

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	04/21/2023

Similar Medicare Providers

1962493601 — MR. ROY STEVEN JOHNSON CRNA
Practice Location Address:

1102 N PINE RD
OLLA, LA
71465-4804

Practice Phone: 318-495-3131
Practice Fax: 318-495-0749

1508805532 — DR. ERIC CHARLES DUPREE M.D.
Practice Location Address:

1102 N PINE RD
OLLA, LA
71465-4804

Practice Phone: 318-495-3131
Practice Fax: 318-495-0749

1922040443 — JEFFREY TANITA M.D.
Practice Location Address:

1136A N PINE RD
OLLA, LA
71465-4804

Practice Phone: 318-495-3880
Practice Fax: 318-495-3882

1083636484 — PHILLIP C ROWDEN M.D.
Practice Location Address:

1102 NORTH PINE STREET
OLLA, LA
71465-4804

Practice Phone: 318-495-3131
Practice Fax:

1548398852 — LASALLE HOSPITAL SERVICE DISTRICT #1
Practice Location Address:

1102 N PINE RD
OLLA, LA
71465-4804

Practice Phone: 318-495-3131
Practice Fax: 318-495-3229

1184815466 — LASALLE PARISH HOSPITAL SERVICE DISTRICT #1
Practice Location Address:

1102 N PINE RD
OLLA, LA
71465-4804

Practice Phone: 318-495-3131
Practice Fax:

Directions to “LASALLE HOSPITAL SERVICE DIST #1 ” 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 © 2007-2025 (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.