Organization
NATCHITOCHES OUTPATIENT SERVICES
Active
Other names
PRISM CENTER NATCHITOCHES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD R HEBERT (CFO)
(318) 214-4200
Entity
Organization
Contact information
Practice address
740 KEYSER AVE, SUITE E, NATCHITOCHES, LA 71457-6037
(318) 214-0088
(318) 214-4493
Mailing address
PO BOX 2154, NATCHITOCHES, LA 71457-2154
(318) 214-4200
(318) 214-4493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
LA
225X00000X
Occupational Therapist
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524069
—
LA
Enumeration date
10/31/2006
Last updated
04/20/2008
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