Provider Demographics
NPI:1235256801
Name:HOSPITAL SERVICE DISTRICT NO. 1 OF CALDWELL PARISH
Entity Type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT NO. 1 OF CALDWELL PARISH
Other - Org Name:CITIZENS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-649-6106
Mailing Address - Street 1:PO BOX 1079
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:LA
Mailing Address - Zip Code:71418-1079
Mailing Address - Country:US
Mailing Address - Phone:318-649-6106
Mailing Address - Fax:
Practice Address - Street 1:7939 HIGHWAY 165
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:LA
Practice Address - Zip Code:71418
Practice Address - Country:US
Practice Address - Phone:318-649-6106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA188275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA19U184Medicare Oscar/Certification