Organization
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.
Active
Parent organization
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.
Other names
Hood Memorial Hospital -Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA.
Authorized official
MR. EDWARD C. DUGAR (CEO)
(985) 284-2404
Entity
Organization
Contact information
Practice address
301 W WALNUT ST, AMITE, LA 70422-2025
(985) 748-7141
(985) 748-3181
Mailing address
301 W. WALNUT ST., AMITE, LA 70422-2025
(985) 748-9485
(985) 748-8144
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04772
BLUE CROSS PRO FEE
LA
05
—
1797235
—
LA
Enumeration date
01/31/2007
Last updated
08/28/2017
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