Provider Demographics
NPI:1407100183
Name:HILL MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:HILL MEDICAL SERVICES, LLC
Other - Org Name:DIABETES CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:318-245-4757
Mailing Address - Street 1:707 S VIENNA ST
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-5845
Mailing Address - Country:US
Mailing Address - Phone:318-224-3044
Mailing Address - Fax:318-232-2978
Practice Address - Street 1:707 S VIENNA ST
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-5845
Practice Address - Country:US
Practice Address - Phone:318-224-3044
Practice Address - Fax:318-232-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty