Provider Demographics
NPI:1003082066
Name:COMMUNITY HEALTH & REHABILITATION CENTER
Entity Type:Organization
Organization Name:COMMUNITY HEALTH & REHABILITATION CENTER
Other - Org Name:MIDCITY IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-201-0901
Mailing Address - Street 1:660 N FOSTER DR
Mailing Address - Street 2:A101
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-1871
Mailing Address - Country:US
Mailing Address - Phone:225-201-0901
Mailing Address - Fax:225-201-0955
Practice Address - Street 1:660 N FOSTER DR
Practice Address - Street 2:A101
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1871
Practice Address - Country:US
Practice Address - Phone:225-201-0901
Practice Address - Fax:225-201-0955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty