Provider Demographics
NPI:1134243736
Name:STERLINGTON CRITICAL ACCESS HOSPITAL, LLC
Entity type:Organization
Organization Name:STERLINGTON CRITICAL ACCESS HOSPITAL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:318-665-9950
Mailing Address - Street 1:205 DAVENPORT STREET
Mailing Address - Street 2:
Mailing Address - City:MER ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:71261-4521
Mailing Address - Country:US
Mailing Address - Phone:318-647-3412
Mailing Address - Fax:318-647-5542
Practice Address - Street 1:10374 HIGHWAY 165 N STE D
Practice Address - Street 2:
Practice Address - City:STERLINGTON
Practice Address - State:LA
Practice Address - Zip Code:71280-3369
Practice Address - Country:US
Practice Address - Phone:318-665-4543
Practice Address - Fax:318-665-4539
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STERLINGTON CRITICAL ACCESS HOSPTIAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-19
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1014605Medicaid
LA1014605Medicaid
LA193473Medicare Oscar/Certification
LA193844Medicare Oscar/Certification