Organization
CALDWELL MEMORIAL HOSPITAL, INC.
Active
Parent organization
CALDWELL MEMORIAL HOSPITAL, INC.
Other names
Wisner Rural Health Clinic, WISNER RUAL HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALDWELL MEMORIAL HOSPITAL, INC.
Authorized official
RHONDA ETHERIDGE (OFFICE MANAGER)
(318) 724-6789
Entity
Organization
Contact information
Practice address
3286 OAK ST, WISNER, LA 71378
(318) 724-6789
(318) 724-6788
Mailing address
PO BOX 899, COLUMBIA, LA 71418-0899
(318) 649-6111
(318) 649-5094
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1408743
—
LA
01
—
193471
MEDICARE PROVIDER #
LA
Enumeration date
05/07/2008
Last updated
03/09/2020
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