Organization
HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH
Active
Other names
LaSalle Primary Healthcare Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLYSON C FANNIN CPA, CFO (CHIEF FINANCIAL OFFICER)
(318) 992-9200
Entity
Organization
Contact information
Practice address
2801 FOURTH ST, JONESVILLE, LA 71343-2004
(318) 339-9990
(318) 339-9915
Mailing address
187 NINTH STREET, PO BOX 2780, JENA, LA 71342-2780
(318) 992-9200
(318) 992-9280
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
231RHC-1
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449717
—
LA
Enumeration date
08/25/2006
Last updated
08/22/2020
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