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Organization
SABINE MEDICAL CENTER INC
Active
Organization
SABINE MEDICAL CENTER INC
Active
Other names
Sabine Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROCK BORDELON (CEO)
(318) 226-8202
Entity
Organization
Contact information
Practice address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
(318) 256-7543
Mailing address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 226-8202
(318) 226-8205
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
539RHC
LA
275N00000X
Medicare Defined Swing Bed Hospital Unit
539
LA
282N00000X
General Acute Care Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
539
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760811
—
LA
01
—
190078728Z
BLUE CROSS
LA
01
—
190078729Z
BLUE CROSS PROFESSIONA
LA
01
—
61121
BLUE CROSS
LA
Enumeration date
08/16/2005
Last updated
04/13/2009
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