Provider Demographics
NPI:1215194204
Name:ALLEN PARISH HOSPITAL DISTRICT NO 3
Entity Type:Organization
Organization Name:ALLEN PARISH HOSPITAL DISTRICT NO 3
Other - Org Name:ALLEN PARISH HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:REVIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-738-9479
Mailing Address - Street 1:108 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:KINDER
Mailing Address - State:LA
Mailing Address - Zip Code:70648-3519
Mailing Address - Country:US
Mailing Address - Phone:337-738-2527
Mailing Address - Fax:337-738-4679
Practice Address - Street 1:108 6TH AVE
Practice Address - Street 2:
Practice Address - City:KINDER
Practice Address - State:LA
Practice Address - Zip Code:70648-3519
Practice Address - Country:US
Practice Address - Phone:337-738-2527
Practice Address - Fax:337-738-4679
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLEN PARISH HOSPITAL DISTRICT NO 3
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-19
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA205282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5D108OtherMEDICARE PART B
LA61083OtherBLUE CROSS BLUE SHIELD
LA1734691Medicaid
LA1796689Medicaid
LA190133OtherMEDICARE ACUTE