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Organization

LASALLE PARISH HOSPITAL SERVICE DISTRICT #1

Active
Other names
HARDTNER FAMILY CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL MATHEWS (ADMINISTRATOR)
(318) 495-3131
Entity
Organization

Contact information

Practice address
15712 HWY 165, URANIA, LA 71480
(318) 495-3131
Mailing address
15712 HWY 165, OLLA, LA 71465
(318) 495-3131

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2384716
LA
Enumeration date
06/03/2014
Last updated
01/18/2024
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