Provider Demographics
NPI:1437116886
Name:DEPARTMENT OF HEALTH & HOSPITALS
Entity Type:Organization
Organization Name:DEPARTMENT OF HEALTH & HOSPITALS
Other - Org Name:MANY CAD
Other - Org Type:Other Name
Authorized Official - Title/Position:OAD CLINIC MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:FARNETTA
Authorized Official - Middle Name:F
Authorized Official - Last Name:GREEN-SOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:318-357-3283
Mailing Address - Street 1:212 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-6052
Mailing Address - Country:US
Mailing Address - Phone:318-357-3283
Mailing Address - Fax:318-357-3287
Practice Address - Street 1:580 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-3005
Practice Address - Country:US
Practice Address - Phone:318-256-4136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder