# CALDWELL MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALDWELL MEMORIAL HOSPITAL, INC.
- **Other names:** Wisner Rural Health Clinic, WISNER RUAL HEALTH CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396911574
- **Legal business name:** CALDWELL MEMORIAL HOSPITAL, INC.
- **Authorized official:** RHONDA ETHERIDGE (OFFICE MANAGER)
- **Authorized official phone:** (318) 724-6789

## Contact information

- **Practice address:** 3286 OAK ST, WISNER, LA 71378
- **Practice address phone:** (318) 724-6789
- **Practice address fax:** (318) 724-6788
- **Mailing address:** PO BOX 899, COLUMBIA, LA 71418-0899
- **Mailing address phone:** (318) 649-6111
- **Mailing address fax:** (318) 649-5094

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 03/09/2020
