Organization Name: | CATAHOULA PARISH HOSPITAL DISTRICT NO 2 |
NPI Number: | 1245629260 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA K MIESCH (CEO) |
Mailing Address: | 900 Foster Drive Jonesville |
State: | LA US |
Postal Code: | 71343 |
Phone Number: | 3183397265 |
Fax Number: | 3183397267 |
NPI Enumeration Date: | 01/14/2015 |
NPI Last Update Date: | 11/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |