Provider Demographics
NPI:1619428588
Name:STERLINGTON CRITICAL ACCESS HOSPITAL L.L.C
Entity Type:Organization
Organization Name:STERLINGTON CRITICAL ACCESS HOSPITAL L.L.C
Other - Org Name:STERLINGTON CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-665-9950
Mailing Address - Street 1:355 W HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71220-4441
Mailing Address - Country:US
Mailing Address - Phone:318-665-9950
Mailing Address - Fax:318-665-9950
Practice Address - Street 1:355 W HICKORY AVE
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-4441
Practice Address - Country:US
Practice Address - Phone:318-665-9950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty