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Organization
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Active
Organization
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Active
Other names
TRINITY MEDICAL VIDALIA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
NEKEISHA LASHAY SMITH (ADMINISTRATOR)
(318) 719-3636
Entity
Organization
Contact information
Practice address
1643 CARTER ST, VIDALIA, LA 71373-3156
(318) 336-8707
Mailing address
PO BOX 111, FERRIDAY, LA 71334-0111
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
LA
Other
Enumeration date
12/19/2017
Last updated
10/05/2022
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