# IASIS GLENWOOD REGIONAL MEDICAL CENTER LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IASIS GLENWOOD REGIONAL MEDICAL CENTER LP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821143850
- **Legal business name:** IASIS GLENWOOD REGIONAL MEDICAL CENTER LP
- **Authorized official:** JEREMY M TINNERELLO (HOSPITAL CEO)
- **Authorized official phone:** (318) 329-4200

## Contact information

- **Practice address:** 503 MCMILLAN RD, WEST MONROE, LA 71291-5327
- **Practice address phone:** (318) 329-4200
- **Practice address fax:** (318) 329-4710
- **Mailing address:** 503 MCMILLAN ROAD, ATTN: BILLING, WEST MONROE, LA 71291-5327
- **Mailing address phone:** (318) 329-4200
- **Mailing address fax:** (318) 329-4710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 04/04/2018