Provider Demographics
NPI:1821535394
Name:WEST FELICIANA PARISH HOSPITAL
Entity Type:Organization
Organization Name:WEST FELICIANA PARISH HOSPITAL
Other - Org Name:WEST FELICIANA PARISH HOSPITAL EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:W
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-635-2411
Mailing Address - Street 1:P.O. BOX 368
Mailing Address - Street 2:
Mailing Address - City:ST. FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775
Mailing Address - Country:US
Mailing Address - Phone:225-635-2415
Mailing Address - Fax:225-635-2449
Practice Address - Street 1:5266 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:ST. FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775
Practice Address - Country:US
Practice Address - Phone:225-635-2415
Practice Address - Fax:225-635-2449
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HOSPITAL SERVICE DISTRICT OF WEST FELICIANA PARISH LOUISIANA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-23
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1734811Medicaid
LA192306Medicare Oscar/Certification
LA1734811Medicaid