Organization
DESOTO HOSPITAL ASSOCATION
Active
Other names
DeSoto Regional Family Medicine - Logansport, DeSoto Reginal Family Medicine - Logansport
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE DEUTSCH (CREDENTIALING SPECIALIST)
(318) 871-3101
Entity
Organization
Contact information
Practice address
808 MAIN STREET, LOGANSPORT, LA 71049
(318) 697-2273
(318) 697-2277
Mailing address
808 MAIN STREET, LOGANSPORT, LA 71049
(318) 697-2273
(318) 697-2277
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445932
—
LA
01
—
193448
MEDICARE
LA
01
—
5C630
MDEICARE
LA
Enumeration date
03/01/2007
Last updated
12/12/2025
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