Provider Demographics
NPI:1902184294
Name:HOSPITAL SERVICE DISTRICT NO 1
Entity Type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT NO 1
Other - Org Name:NORTH OAKS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. V.P. / C.F.O.
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-230-6603
Mailing Address - Street 1:PO BOX 2668
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-2668
Mailing Address - Country:US
Mailing Address - Phone:225-686-4900
Mailing Address - Fax:225-686-4901
Practice Address - Street 1:17199 SPRING RANCH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LIVINGSTON
Practice Address - State:LA
Practice Address - Zip Code:70754-2900
Practice Address - Country:US
Practice Address - Phone:225-686-4900
Practice Address - Fax:225-686-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA000261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1447587Medicaid
LA5D628Medicare PIN
LA1447587Medicaid