Organization
IASIS GLENWOOD REGIONAL MEDICAL CENTER LP
Active
Parent organization
IASIS GLENWOOD REGIONAL MEDICAL CENTER LP
Organization subpart
Yes
Provider details
NPI number
Legal business name
IASIS GLENWOOD REGIONAL MEDICAL CENTER LP
Authorized official
JEREMY M TINNERELLO (HOSPITAL CEO)
(318) 329-4200
Entity
Organization
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4200
(318) 329-4710
Mailing address
503 MCMILLAN ROAD, ATTN: BILLING, WEST MONROE, LA 71291-5327
(318) 329-4200
(318) 329-4710
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
04/04/2018
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