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Organization
HOMER MEMORIAL HOSPITAL
Active
Organization
HOMER MEMORIAL HOSPITAL
Active
Other names
Donald K. Haynes, Etal Ptrs, Homer Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KEITHA COOK (OFFICE MANAGER)
(318) 927-3571
Entity
Organization
Contact information
Practice address
912 W MAIN ST, HOMER, LA 71040-3328
(318) 927-3571
(318) 927-2677
Mailing address
620 EAST COLLEGE ST., HOMER, LA 71040
(318) 927-3571
(318) 927-2677
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
008287
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799645
—
LA
Enumeration date
08/05/2006
Last updated
06/22/2022
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