# HUEY P. LONG MEDICAL CENTER

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

## Provider details

- **NPI number:** 1467496190
- **Authorized official:** MS. MELANIE H SOTAK (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (318) 675-7737

## Contact information

- **Practice address:** 352 HOSPITAL RD, PINEVILLE, LA 71360
- **Practice address phone:** (318) 448-0811
- **Practice address fax:** (318) 473-6360
- **Mailing address:** 352 HOSPITAL RD, PINEVILLE, LA 71360
- **Mailing address phone:** (318) 448-0811
- **Mailing address fax:** (318) 473-6360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 255 | LA | — |
| 207R00000X | Internal Medicine Physician | 255 | LA | Yes |
| 208000000X | Pediatrics Physician | 255 | LA | — |
| 2084P0800X | Psychiatry Physician | 255 | LA | — |
| 208600000X | Surgery Physician | 255 | LA | — |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 02/05/2009