Organization
HOMER MEMORIAL HOSPITAL
Active
Other names
Donald K. Haynes, Etal Ptrs, Homer Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KEITHA COOK (OFFICE MANAGER)
(318) 927-3571
Entity
Organization
Contact information
Practice address
912 W MAIN ST, HOMER, LA 71040-3328
(318) 927-3571
(318) 927-2677
Mailing address
620 EAST COLLEGE ST., HOMER, LA 71040
(318) 927-3571
(318) 927-2677
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
008287
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799645
—
LA
Enumeration date
08/05/2006
Last updated
06/22/2022
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