Organization
HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LA
Active
Parent organization
HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LOUISIANA
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL SERVICE DISTRICT NO 1 PARISH OF AVOYELLES STATE OF LOUISIANA
Authorized official
LATRICE WILLIAMS (BUSINESS OFFICE MANAGER)
(318) 346-6681
Entity
Organization
Contact information
Practice address
109 N LEXINGTON AVE, BUNKIE, LA 71322-1619
(318) 346-7283
Mailing address
PO BOX 380, BUNKIE, LA 71322-0380
(318) 346-7283
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
184RHC-1
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184RHC-1
STATE LICENSE #
LA
05
—
1943762
—
LA
Enumeration date
05/24/2006
Last updated
11/09/2017
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