Provider Demographics
NPI:1184048373
Name:HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LOUISIANA
Entity type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LOUISIANA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NELWYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FEHMIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-346-3339
Mailing Address - Street 1:PO BOX 380
Mailing Address - Street 2:
Mailing Address - City:BUNKIE
Mailing Address - State:LA
Mailing Address - Zip Code:71322-0380
Mailing Address - Country:US
Mailing Address - Phone:318-346-3339
Mailing Address - Fax:318-346-2737
Practice Address - Street 1:448 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2426
Practice Address - Country:US
Practice Address - Phone:318-253-7511
Practice Address - Fax:318-253-7513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA184261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center