Provider Demographics
NPI:1811171085
Name:STERLINGTON CRITICAL ACCESS HOSPITAL, L.L.C.
Entity type:Organization
Organization Name:STERLINGTON CRITICAL ACCESS HOSPITAL, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-665-9950
Mailing Address - Street 1:220 W DAVENPORT AVE
Mailing Address - Street 2:
Mailing Address - City:MER ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:71261-3903
Mailing Address - Country:US
Mailing Address - Phone:318-647-3412
Mailing Address - Fax:318-647-5542
Practice Address - Street 1:205 DAVENPORT STREET
Practice Address - Street 2:
Practice Address - City:MER ROUGE
Practice Address - State:LA
Practice Address - Zip Code:71261
Practice Address - Country:US
Practice Address - Phone:318-647-3142
Practice Address - Fax:318-647-5542
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STERLINGTON CRTICAL ACCESS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-24
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
LA193486Medicare PIN