Provider Demographics
NPI:1942257423
Name:STERLINGTON CRITICAL ACCESS HOSPITAL, L.L.C.
Entity Type:Organization
Organization Name:STERLINGTON CRITICAL ACCESS HOSPITAL, L.L.C.
Other - Org Name:STERLINGTON REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-665-9950
Mailing Address - Street 1:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-0627
Mailing Address - Country:US
Mailing Address - Phone:186-659-9503
Mailing Address - Fax:318-665-0379
Practice Address - Street 1:370 W HICKORY AVE
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-4442
Practice Address - Country:US
Practice Address - Phone:318-665-9950
Practice Address - Fax:318-665-9906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA457283X00000X
LA2203781103283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1700495Medicaid
LA60443OtherBCBS
LA1700495Medicaid
LA193069Medicare Oscar/Certification