Provider Demographics
NPI:1801825005
Name:HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH
Entity Type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH
Other - Org Name:LASALLE GENERAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANA
Authorized Official - Middle Name:B
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-992-9200
Mailing Address - Street 1:PO BOX 2780
Mailing Address - Street 2:
Mailing Address - City:JENA
Mailing Address - State:LA
Mailing Address - Zip Code:71342-2780
Mailing Address - Country:US
Mailing Address - Phone:318-992-9200
Mailing Address - Fax:318-992-9280
Practice Address - Street 1:187 NINTH STREET
Practice Address - Street 2:
Practice Address - City:JENA
Practice Address - State:LA
Practice Address - Zip Code:71342-2780
Practice Address - Country:US
Practice Address - Phone:318-992-9200
Practice Address - Fax:318-992-9245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA231273R00000X, 282N00000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No273R00000XHospital UnitsPsychiatric Unit
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA04848OtherBLUE CROSS
LA1734977Medicaid
LA60752OtherBLUE CROSS NUMBER
LA60752OtherBLUE CROSS NUMBER
LA190145Medicare Oscar/Certification
LA04848OtherBLUE CROSS