# ST. CHARLES PARISH HOSPITAL

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

## Provider details

- **NPI number:** 1386828119
- **Authorized official:** FRED MARTINEZ (CEO)
- **Authorized official phone:** (985) 785-3643

## Contact information

- **Practice address:** 1057 PAUL MAILLARD RD, LULING, LA 70070-4349
- **Practice address phone:** (985) 785-4285
- **Mailing address:** 1057 PAUL MAILLARD RD, LULING, LA 70070-4349
- **Mailing address phone:** (985) 785-4285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 1205 | LA | Yes |

## Other

- **Enumeration date:** 12/28/2007
- **Last updated:** 12/28/2007