Provider Demographics
NPI:1366504334
Name:ST. FRANCIS NORTH BEHAVIORAL HEALTH UNIT
Entity Type:Organization
Organization Name:ST. FRANCIS NORTH BEHAVIORAL HEALTH UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VICE PRESIDENT CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-327-4000
Mailing Address - Street 1:3421 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2355
Mailing Address - Country:US
Mailing Address - Phone:318-388-1946
Mailing Address - Fax:
Practice Address - Street 1:3421 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2355
Practice Address - Country:US
Practice Address - Phone:318-388-1946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA157273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA19S125Medicare ID - Type Unspecified