Provider Demographics
NPI:1588648315
Name:HOSPITAL SERVICE DISTRICT NO 1 OF POINTE COUPEE
Entity Type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT NO 1 OF POINTE COUPEE
Other - Org Name:POINTE COUPEE GENERAL HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:E
Authorized Official - Last Name:OLINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-638-5701
Mailing Address - Street 1:2202 FALSE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROADS
Mailing Address - State:LA
Mailing Address - Zip Code:70760-2614
Mailing Address - Country:US
Mailing Address - Phone:225-638-6331
Mailing Address - Fax:225-638-5846
Practice Address - Street 1:2202 FALSE RIVER DR
Practice Address - Street 2:
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760-2614
Practice Address - Country:US
Practice Address - Phone:225-638-6331
Practice Address - Fax:225-638-5846
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITAL SERVICE DISTRICT NO 1 OF POINTE COUPEE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-05
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA196282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1730521Medicaid
LA1730521Medicaid