Organization
DESOTO HOSPITAL ASSOCIATION
Active
Other names
DeSoto Regional Health System
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DAVIS (VP OF FINIANCE)
(318) 872-2700
Entity
Organization
Contact information
Practice address
207 JEFFERSON ST, MANSFIELD, LA 71052-2603
(318) 872-4610
(318) 872-1502
Mailing address
207 JEFFERSON ST, MANSFIELD, LA 71052-2603
(318) 872-4610
(318) 872-1502
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
—
—
282N00000X
General Acute Care Hospital
229
LA
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04700
BLUE CROSS
LA
05
—
1743283
—
LA
05
—
1750131
—
LA
Enumeration date
05/19/2008
Last updated
11/20/2020
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