| 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 |