Organization
BERNICE COMMUNITY REHAB HOSPITAL
Active
Other names
Community Specialty Hospital of North Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK OSBORNE GOFF (ADMINISTRATOR CEO)
(318) 377-5555
Entity
Organization
Contact information
Practice address
108 MEADOWBROOK DRIVE, MINDEN, LA 71055
(318) 377-5555
(318) 377-5442
Mailing address
108 MEADOWBROOK DRIVE, MINDEN, LA 71055
(318) 377-5555
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1765422
—
LA
01
—
61273
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/19/2006
Last updated
08/22/2020
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