# CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRINITY MEDICAL VIDALIA CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780190322
- **Authorized official:** NEKEISHA LASHAY SMITH (ADMINISTRATOR)
- **Authorized official phone:** (318) 719-3636

## Contact information

- **Practice address:** 1643 CARTER ST, VIDALIA, LA 71373-3156
- **Practice address phone:** (318) 336-8707
- **Mailing address:** PO BOX 111, FERRIDAY, LA 71334-0111

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2017
- **Last updated:** 10/05/2022