# LASALLE KIDCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LASALLE GENERAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215111448
- **Legal business name:** LASALLE GENERAL HOSPITAL
- **Authorized official:** HEATH M VEULEMAN (DIRECTOR OF CLINICS)
- **Authorized official phone:** (318) 992-9200

## Contact information

- **Practice address:** 121 NINTH STREET, JENA, LA 71342
- **Practice address phone:** (318) 992-6988
- **Practice address fax:** (318) 992-6989
- **Mailing address:** PO BOX 2780, JENA, LA 71342-2780
- **Mailing address phone:** (318) 992-6988
- **Mailing address fax:** (318) 992-6989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 12/24/2007