Organization
LINCOLN HEALTH SYSTEM
Active
Other names
Lincoln General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J STONE (CHIEF EXECUTIVE OFFICER)
(318) 254-2450
Entity
Organization
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2450
(318) 254-2728
Mailing address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2450
(318) 254-2728
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947733
—
LA
01
—
C3073
BLUE CROSS ER PHYSICIANS
LA
Enumeration date
11/06/2006
Last updated
08/22/2020
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