Provider Demographics
NPI:1932418365
Name:UNION GENERAL HOSPITAL
Entity Type:Organization
Organization Name:UNION GENERAL HOSPITAL
Other - Org Name:UNION CLINIC OF MARION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVALYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ORMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-368-9751
Mailing Address - Street 1:3150 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:LA
Mailing Address - Zip Code:71260-3653
Mailing Address - Country:US
Mailing Address - Phone:318-292-2795
Mailing Address - Fax:318-292-2785
Practice Address - Street 1:3150 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:LA
Practice Address - Zip Code:71260-3653
Practice Address - Country:US
Practice Address - Phone:318-292-2795
Practice Address - Fax:318-292-2785
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNION GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA146RHC-2261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health