Provider Demographics
NPI:1811213366
Name:DEQUINCY MEMORIAL HOSPITAL INC
Entity Type:Organization
Organization Name:DEQUINCY MEMORIAL HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP-REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-786-2900
Mailing Address - Street 1:PO BOX 1166
Mailing Address - Street 2:
Mailing Address - City:DEQUINCY
Mailing Address - State:LA
Mailing Address - Zip Code:70633-1166
Mailing Address - Country:US
Mailing Address - Phone:337-786-2900
Mailing Address - Fax:337-786-1675
Practice Address - Street 1:110 W 4TH ST
Practice Address - Street 2:
Practice Address - City:DEQUINCY
Practice Address - State:LA
Practice Address - Zip Code:70633-3508
Practice Address - Country:US
Practice Address - Phone:337-786-2900
Practice Address - Fax:337-786-1675
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEQUNICY MEMORIAL HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-08
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA429273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit