# MONROE SURGICAL HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONROE SURGICAL HOSPITAL, LLC
- **Other names:** The Medical Office of Mangham
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275193773
- **Legal business name:** MONROE SURGICAL HOSPITAL, LLC
- **Authorized official:** ROBYN HEMPHILL RN (CEO)
- **Authorized official phone:** (318) 812-9500

## Contact information

- **Practice address:** 261 HIGHWAY 132, MANGHAM, LA 71259-5269
- **Practice address phone:** (318) 248-2807
- **Practice address fax:** (318) 248-2967
- **Mailing address:** PO BOX 51193, LAFAYETTE, LA 70505-1193
- **Mailing address phone:** (318) 248-2807
- **Mailing address fax:** (318) 248-2967

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 08/19/2019
