Provider Demographics
NPI:1023018835
Name:WARDS 3 4 & 10 HOSPITAL SERVICE DISTRICT PARISH OF UNION
Entity Type:Organization
Organization Name:WARDS 3 4 & 10 HOSPITAL SERVICE DISTRICT PARISH OF UNION
Other - Org Name:REEVES MEMORIAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-285-9066
Mailing Address - Street 1:PO BOX 697
Mailing Address - Street 2:
Mailing Address - City:BERNICE
Mailing Address - State:LA
Mailing Address - Zip Code:71222-0697
Mailing Address - Country:US
Mailing Address - Phone:318-285-9066
Mailing Address - Fax:318-285-7234
Practice Address - Street 1:409 1ST ST
Practice Address - Street 2:
Practice Address - City:BERNICE
Practice Address - State:LA
Practice Address - Zip Code:71222-4001
Practice Address - Country:US
Practice Address - Phone:318-285-9066
Practice Address - Fax:318-285-7234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA215282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1941875Medicaid
LA1734853Medicaid
LA191326Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER