Provider Demographics
NPI:1376580332
Name:CLHG-OAKDALE, LLC
Entity Type:Organization
Organization Name:CLHG-OAKDALE, LLC
Other - Org Name:OAKDALE COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAHASKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-240-6147
Mailing Address - Street 1:P.O. BOX 629
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:LA
Mailing Address - Zip Code:71463-0629
Mailing Address - Country:US
Mailing Address - Phone:318-335-3700
Mailing Address - Fax:318-215-3024
Practice Address - Street 1:130 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-3035
Practice Address - Country:US
Practice Address - Phone:318-335-3700
Practice Address - Fax:318-215-3024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
19U106Medicare Oscar/Certification