Organization
LASALLE PARISH HOSPITAL SERVICE DISTRICT #1
Active
Other names
HARDTNER MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL G MATHEWS (ADMINISTRATOR)
(318) 495-3131
Entity
Organization
Contact information
Practice address
1049 NORTH PINE ROAD, OLLA, LA 71465
(318) 495-3880
(318) 495-3882
Mailing address
1049 N PINE RD, OLLA, LA 71465-4826
(318) 495-3880
(318) 495-0773
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
178RHC-1
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449342
—
LA
Enumeration date
09/12/2006
Last updated
04/21/2023
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