# RUSTON LOUISIANA HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RUSTON LOUISIANA HOSPITAL COMPANY LLC
- **Other names:** Northern Louisiana Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922139831
- **Legal business name:** RUSTON LOUISIANA HOSPITAL COMPANY LLC
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (615) 925-4565

## Contact information

- **Practice address:** 401 E VAUGHN AVE, RUSTON, LA 71270-5950
- **Practice address phone:** (318) 254-2100
- **Practice address fax:** (318) 254-2728
- **Mailing address:** 401 E VAUGHN AVE, RUSTON, LA 71270-5950
- **Mailing address phone:** (318) 254-2100
- **Mailing address fax:** (318) 254-2728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 618 | LA | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 01/08/2018