Organization
DESOTO HOSPITAL ASSOCIATION
Active
Parent organization
DESOTO HOSPITAL ASSOCIATION
Other names
Zwolle Rural Clinic, DESOTO REGIONAL HEALTH SYSTEM ZWOLLE RURAL CLINIC, DRFM Zwolle Rural Clinic, Desoto Regional Health System
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESOTO HOSPITAL ASSOCIATION
Authorized official
CHRISTOPHER DAVIS (COO)
(318) 270-3250
Entity
Organization
Contact information
Practice address
2026 OBRIE STREET, ZWOLLE, LA 71486-1339
(318) 645-6013
Mailing address
2026 OBRIE STREET, PO BOX 1339, ZWOLLE, LA 71486-1339
(318) 645-6013
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447242
—
LA
01
—
193449
MEDICARE
LA
Enumeration date
02/01/2007
Last updated
12/06/2023
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