# NATCHITOCHES OUTPATIENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRISM CENTER NATCHITOCHES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114003050
- **Authorized official:** MR. GERARD R HEBERT (CFO)
- **Authorized official phone:** (318) 214-4200

## Contact information

- **Practice address:** 740 KEYSER AVE, SUITE E, NATCHITOCHES, LA 71457-6037
- **Practice address phone:** (318) 214-0088
- **Practice address fax:** (318) 214-4493
- **Mailing address:** PO BOX 2154, NATCHITOCHES, LA 71457-2154
- **Mailing address phone:** (318) 214-4200
- **Mailing address fax:** (318) 214-4493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | LA | Yes |
| 225X00000X | Occupational Therapist | — | LA | — |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1524069 | — | LA |