Organization
LALLIE KEMP MEDICAL CTR
Active
Other names
Lallie Kemp Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K BUTLER MD (ACTING CEO)
(225) 922-0775
Entity
Organization
Contact information
Practice address
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443-2231
(985) 878-9421
(985) 878-1263
Mailing address
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443-2231
(985) 878-9421
(985) 878-1263
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1404055
—
LA
05
—
1940046
—
LA
Enumeration date
06/12/2006
Last updated
03/28/2008
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