Organization
CLHG-VILLE PLATTE LLC
Active
Organization
CLHG-VILLE PLATTE LLC
Active
Other names
Mercy Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E. CAMERON JR. (CORPORATE OFFICER/ CHIEF OPERATING)
(318) 226-8202
Entity
Organization
Contact information
Practice address
800 E MAIN ST, VILLE PLATTE, LA 70586-4618
(337) 363-9414
(337) 363-9488
Mailing address
800 E MAIN ST, VILLE PLATTE, LA 70586-4618
(337) 363-9414
(337) 363-9488
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443417
—
LA
01
—
G1088
BCBS
—
Enumeration date
01/24/2008
Last updated
04/11/2020
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