# DESOTO HOSPITAL ASSOCATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DeSoto Regional Family Medicine Clinic-Logansport, DeSoto Regional Family Medicine - Logansport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205457892
- **Authorized official:** CHRISTOPHER DAVIS (VP OF FINIANCE)
- **Authorized official phone:** (318) 872-2700

## Contact information

- **Practice address:** 808 MAIN ST, LOGANSPORT, LA 71049-2605
- **Practice address phone:** (318) 697-2273
- **Mailing address:** 808 MAIN ST, LOGANSPORT, LA 71049-2605
- **Mailing address phone:** (318) 697-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2020
- **Last updated:** 10/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 11445932 | — | LA |
| 01 | — | 5C630 | NON MEDICARE RHC | LA |