Provider Demographics
NPI:1679935928
Name:STERLINGTON CRITICAL ACCESS HOSPITAL L.L.C
Entity Type:Organization
Organization Name:STERLINGTON CRITICAL ACCESS HOSPITAL L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-665-9950
Mailing Address - Street 1:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-0627
Mailing Address - Country:US
Mailing Address - Phone:318-665-9950
Mailing Address - Fax:318-665-9906
Practice Address - Street 1:370 W HICKORY AVE
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-4442
Practice Address - Country:US
Practice Address - Phone:318-281-4531
Practice Address - Fax:318-281-4534
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STERLINGTON PART B PRACTICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-25
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203781103363AM0700X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1700495Medicaid
LA1700495Medicaid