Organization
SABINE MEDICAL CENTER INC
Active
Other names
Sabine Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROCK BORDELON (CEO)
(318) 226-8202
Entity
Organization
Contact information
Practice address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
(318) 256-7543
Mailing address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 226-8202
(318) 226-8205
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
539RHC
LA
275N00000X
Medicare Defined Swing Bed Hospital Unit
539
LA
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
539
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760811
—
LA
01
—
190078728Z
BLUE CROSS
LA
01
—
190078729Z
BLUE CROSS PROFESSIONA
LA
01
—
61121
BLUE CROSS
LA
Enumeration date
08/16/2005
Last updated
04/13/2009
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