Provider Demographics
NPI:1881678704
Name:UNION GENERAL HOSPITAL
Entity Type:Organization
Organization Name:UNION GENERAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-368-7066
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:901 JAMES AVE
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-0398
Mailing Address - Country:US
Mailing Address - Phone:318-368-9751
Mailing Address - Fax:318-368-7071
Practice Address - Street 1:901 JAMES AVE
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-2234
Practice Address - Country:US
Practice Address - Phone:318-368-9751
Practice Address - Fax:318-368-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA146282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1798754Medicaid
19Z301OtherSWING BED
LA1743577Medicaid
19Z301OtherSWING BED