Provider Demographics
NPI:1437311594
Name:MEDICAL STAFF SERVICES
Entity Type:Organization
Organization Name:MEDICAL STAFF SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEDOUX
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASTANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-635-3811
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:5266 COMMERCE ST
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-0368
Mailing Address - Country:US
Mailing Address - Phone:225-635-3811
Mailing Address - Fax:225-784-3461
Practice Address - Street 1:5266 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:ST FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-0368
Practice Address - Country:US
Practice Address - Phone:225-635-3811
Practice Address - Fax:225-784-3461
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-30
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA116282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA190026536ZOtherMEDICAL STAFF SERVICES