# MADISON PARISH SERVICE DISTRICT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Parish Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902987548
- **Authorized official:** MR. WENDELL ALFORD (ADMINISTRATOR)
- **Authorized official phone:** (318) 574-2374

## Contact information

- **Practice address:** 10 CROTHERS DR, TALLULAH, LA 71282-5510
- **Practice address phone:** (318) 574-2764
- **Practice address fax:** (318) 574-3398
- **Mailing address:** 10 CROTHERS DR, TALLULAH, LA 71282-5510
- **Mailing address phone:** (318) 574-2764
- **Mailing address fax:** (318) 574-3398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/22/2020