Organization
BIENVILLE MEDICAL CENTER PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCK BORDELON (CEO)
(318) 221-3202
Entity
Organization
Contact information
Practice address
1175 PINE ST, SUITE 200, ARCADIA, LA 71001-3113
(318) 629-5340
(318) 221-8205
Mailing address
1175 PINE ST, SUITE 200, ARCADIA, LA 71001-3113
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1707023
—
LA
Enumeration date
02/18/2008
Last updated
05/01/2008
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