Organization
NATCHITOCHES REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B MCCORMICK (CFP)
(318) 214-4350
Entity
Organization
Contact information
Practice address
501 KEYSER AVE, NATCHITOCHES, LA 71457-6018
(318) 214-4200
Mailing address
PO BOX 2009, NATCHITOCHES, LA 71457-2009
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
208
LA
Other
Enumeration date
04/25/2007
Last updated
06/26/2020
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