Organization
LASALLE HOSPITAL SERVICE DISTRICT #1
Active
Other names
Hardtner Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN CUPPLES (ADMINISTRATIVE ASSISTANT)
(318) 495-3131
Entity
Organization
Contact information
Practice address
1102 N PINE RD, OLLA, LA 71465-4804
(318) 495-3131
(318) 495-3229
Mailing address
1102 N PINE RD, OLLA, LA 71465-4804
(318) 495-3131
(318) 495-3229
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
178
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705926
—
LA
Enumeration date
02/28/2007
Last updated
06/16/2008
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