Organization
DOCTORS HOSPITAL AT DEER CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM SMITH (BUSINESS OFFICE DIRECTOR)
(337) 392-5088
Entity
Organization
Contact information
Practice address
815 S 10TH ST, LEESVILLE, LA 71446-4611
(337) 392-5088
(337) 392-4982
Mailing address
PO BOX 1391, LEESVILLE, LA 71496-1391
(337) 392-5088
(337) 392-4982
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
628
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
LA
Enumeration date
09/16/2009
Last updated
01/20/2010
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