| Hardtner Medical Center | |
| 
					1102 N Pine Rd Olla LA 71465-4804  | |
| (318) 495-3131 | |
| (318) 495-3346 | 
| Full Name | Hardtner Medical Center | 
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry | 
| Location | 1102 N Pine Rd, Olla, Louisiana | 
| Authorized Official Name and Position | Paul G Mathews (CEO) | 
| Authorized Official Contact | 3184953131 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hardtner Medical Center 1102 N Pine Rd Olla LA 71465-4804 Ph: (318) 495-3131  | Hardtner Medical Center 1102 N Pine Rd Olla LA 71465-4804 Ph: (318) 495-3131  | 
| NPI Number | 1184800724 | 
|---|---|
| Provider Enumeration Date | 01/14/2008 | 
| Last Update Date | 01/18/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184800724 | NPI | - | NPPES | 
| 1335215 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 06648R (Louisiana) | Primary |