Organization
DESOTO REGIONAL FAMILY MEDICINE
Active
Other names
DeSoto Regional Family Medicine - Mansfield
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE DEUTSCH (CREDENTIALING SPECIALIST)
(318) 871-3101
Entity
Organization
Contact information
Practice address
130 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-2700
(318) 872-6214
Mailing address
130 JEFFERSON ST, MANSFIELD, LA 71052-2602
(318) 872-2700
(318) 872-6214
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
LA
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1948357
—
LA
01
—
CN5547
RR MEDICARE
LA
Enumeration date
02/06/2007
Last updated
03/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us