Organization
CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Active
Other names
Catahoula Parish Hospital Dist. #2, ISLAND MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA K MIESCH MBA (CEO)
(318) 389-5727
Entity
Organization
Contact information
Practice address
307 CHISUM STREET, SICILY ISLAND, LA 71368-0008
(318) 389-5727
(318) 389-4028
Mailing address
PO BOX 8, 307 CHISUM STREET, SICILY ISLAND, LA 71368-0008
(318) 389-5727
(318) 389-4028
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10464
BLUE CROSS LA
LA
05
—
1903191
—
LA
05
—
1940801
—
LA
Enumeration date
02/06/2007
Last updated
04/26/2023
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