Provider Demographics
NPI:1417990037
Name:HUEY P. LONG REG MEDICAL CENTER
Entity Type:Organization
Organization Name:HUEY P. LONG REG MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHANCELLOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-675-7636
Mailing Address - Street 1:352 HOSPITAL BLVD
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-5352
Mailing Address - Country:US
Mailing Address - Phone:318-448-0811
Mailing Address - Fax:318-473-6360
Practice Address - Street 1:352 HOSPITAL BLVD
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-5352
Practice Address - Country:US
Practice Address - Phone:318-448-0811
Practice Address - Fax:318-473-6360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1720381Medicaid
LA90009OtherBCBS ACUTE
LA90009OtherBCBS ACUTE