Organization
LASALLE HOSPITAL SERVICE DIST #1
Active
Other names
Hardtner Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN CUPPLES (AMINISTRATIVE ASSISTANT)
(318) 495-3131
Entity
Organization
Contact information
Practice address
1102 N PINE RD, OLLA, LA 71465-4804
(318) 495-3131
(318) 495-3229
Mailing address
1102 N PINE RD, OLLA, LA 71465-4804
(318) 495-3131
(318) 495-3229
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
178
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04820
BLUE CROSS ER DOCTOR
LA
05
—
1029017
—
LA
Enumeration date
03/01/2007
Last updated
04/21/2023
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