Provider Demographics
NPI:1003925959
Name:HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.
Entity Type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.
Other - Org Name:HOOD MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:DUGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-748-9485
Mailing Address - Street 1:301 W. WALNUT ST.
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-2025
Mailing Address - Country:US
Mailing Address - Phone:985-748-9485
Mailing Address - Fax:985-748-8144
Practice Address - Street 1:301 W. WALNUT ST.
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-2025
Practice Address - Country:US
Practice Address - Phone:985-748-9485
Practice Address - Fax:985-748-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA139282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1735116Medicaid
LA90147OtherBLUE CROSS
LA90147OtherHOSPITAL BLUE CROSS
LA1735116Medicaid