Provider Demographics
NPI:1083031413
Name:RAPIDES HEALTHCARE SYSTEM, LLC
Entity Type:Organization
Organization Name:RAPIDES HEALTHCARE SYSTEM, LLC
Other - Org Name:HP LONG URGENT CARE-PINEVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O./ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:E
Authorized Official - Last Name:COBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-769-3150
Mailing Address - Street 1:211 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8421
Mailing Address - Country:US
Mailing Address - Phone:318-769-3150
Mailing Address - Fax:318-769-7575
Practice Address - Street 1:213 HOSPITAL BLVD.
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-6934
Practice Address - Country:US
Practice Address - Phone:318-769-5664
Practice Address - Fax:318-769-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-24
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5D047Medicare PIN