Organization
CENTRAL LA STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE GAUTHIER (HOSPITAL ADMINISTRATOR)
(318) 484-6200
Entity
Organization
Contact information
Practice address
6250 ESLER FIELD ROAD, PINEVILLE, LA 71360
(318) 484-6200
Mailing address
PO BOX 5031, PINEVILLE, LA 71361-5031
(318) 484-6200
(318) 484-6879
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
217
LA
283Q00000X
Psychiatric Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710555
—
LA
Enumeration date
09/15/2006
Last updated
05/13/2024
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