Organization
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
Active
Other names
TRINITY MEDICAL FERRIDAY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
NEKEISHA LASHAY SMITH (ADMINISTRATOR)
(318) 719-3636
Entity
Organization
Contact information
Practice address
204 SERIO BLVD, FERRIDAY, LA 71334-2015
(318) 757-8010
(318) 757-9501
Mailing address
204 SERIO BLVD, FERRIDAY, LA 71334
(318) 757-0210
(318) 757-9916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
247A
LA
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2518771
—
LA
Enumeration date
06/07/2006
Last updated
10/05/2022
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