Provider Demographics
NPI:1003865619
Name:ST. HELENA PARISH HOSPITAL
Entity Type:Organization
Organization Name:ST. HELENA PARISH HOSPITAL
Other - Org Name:ST. HELENA PARISH HOSPITAL RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:AWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-222-6111
Mailing Address - Street 1:16874 HIGHWAY 43
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:LA
Mailing Address - Zip Code:70441-4834
Mailing Address - Country:US
Mailing Address - Phone:225-222-6111
Mailing Address - Fax:225-222-3279
Practice Address - Street 1:19 N 1ST ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:LA
Practice Address - Zip Code:70441-0059
Practice Address - Country:US
Practice Address - Phone:225-222-3681
Practice Address - Fax:225-222-3279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA193469Medicare Oscar/Certification