| Organization Name: | HOSPITAL SERVICE DISTRICT NO 1A OF THE PARISH OF RICHLAND STATE OF LA |
| NPI Number: | 1083967178 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL W CARROLL (ADMINISTRATOR) |
| Mailing Address: | 106 Toombs St Delhi |
| State: | LA US |
| Postal Code: | 712322647 |
| Phone Number: | 3188788965 |
| Fax Number: | 3188785599 |
| NPI Enumeration Date: | 10/26/2012 |
| NPI Last Update Date: | 10/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |