# ST. LANDRY PARISH RURAL HEALTH NETWORK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154330652
- **Authorized official:** MRS. DODIE LAMOTT (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (337) 942-2005

## Contact information

- **Practice address:** 116 E VINE ST, OPELOUSAS, LA 70570-5152
- **Practice address phone:** (337) 942-2880
- **Practice address fax:** (337) 942-6367
- **Mailing address:** PO BOX 2234, OPELOUSAS, LA 70571-2234
- **Mailing address phone:** (337) 942-2880
- **Mailing address fax:** (337) 942-6367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | CM 6651 | LA | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1328774 | — | LA |
| 05 | — | 1528587 | — | LA |
| 01 | — | CM6651 | CASE MGMT LICENSE | LA |
