# LASALLE PARISH HOSPITAL SERVICE DISTRICT \#1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HARDTNER MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053415745
- **Authorized official:** MR. PAUL G MATHEWS (ADMINISTRATOR)
- **Authorized official phone:** (318) 495-3131

## Contact information

- **Practice address:** 1049 NORTH PINE ROAD, OLLA, LA 71465
- **Practice address phone:** (318) 495-3880
- **Practice address fax:** (318) 495-3882
- **Mailing address:** 1049 N PINE RD, OLLA, LA 71465-4826
- **Mailing address phone:** (318) 495-3880
- **Mailing address fax:** (318) 495-0773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 178RHC-1 | LA | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 04/21/2023
