Organization
CALDWELL MEMORIAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA ETHERIDGE (OFFICE MANAGER)
(318) 649-6111
Entity
Organization
Contact information
Practice address
411 MAIN ST, COLUMBIA, LA 71418-6704
(318) 649-6111
(318) 649-5094
Mailing address
PO BOX 899, COLUMBIA, LA 71418-0899
(318) 649-6111
(318) 649-5094
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
113
LA
282N00000X
General Acute Care Hospital
Primary
113
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740641
—
LA
01
—
90190
BLUE CROSS
—
Enumeration date
06/30/2005
Last updated
03/06/2020
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