Provider Demographics
NPI:1821459835
Name:CATAHOULA PARISH HOSPITAL NO. 2
Entity Type:Organization
Organization Name:CATAHOULA PARISH HOSPITAL NO. 2
Other - Org Name:HARRISONBURG FAMILY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MIESCH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:318-389-5727
Mailing Address - Street 1:302 BUSHLEY ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:LA
Mailing Address - Zip Code:71340-1656
Mailing Address - Country:US
Mailing Address - Phone:318-389-5727
Mailing Address - Fax:318-389-4028
Practice Address - Street 1:307 CHISUM ST
Practice Address - Street 2:
Practice Address - City:SICILY ISLAND
Practice Address - State:LA
Practice Address - Zip Code:71368-4807
Practice Address - Country:US
Practice Address - Phone:318-389-5727
Practice Address - Fax:318-389-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018530207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1903191Medicaid
LA10464OtherBCBS