| Catahoula Parish Hospital District No 2 | |
| 
					307 Chisum Street Sicily Island LA 71368-0008  | |
| (318) 389-5727 | |
| (318) 389-4028 | 
| Full Name | Catahoula Parish Hospital District No 2 | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 307 Chisum Street, Sicily Island, Louisiana | 
| Authorized Official Name and Position | Debra K Miesch (CEO) | 
| Authorized Official Contact | 3183895727 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Catahoula Parish Hospital District No 2 Po Box 8 307 Chisum Street Sicily Island LA 71368-0008 Ph: (318) 389-5727  | Catahoula Parish Hospital District No 2 307 Chisum Street Sicily Island LA 71368-0008 Ph: (318) 389-5727  | 
| NPI Number | 1770622631 | 
|---|---|
| Provider Enumeration Date | 02/06/2007 | 
| Last Update Date | 04/26/2023 | 
| Medicare PECOS PAC ID | 8729067434 | 
|---|---|
| Medicare Enrollment ID | O20040716000202 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770622631 | NPI | - | NPPES | 
| 1940801 | Medicaid | LA | |
| 10464 | Other | LA | BLUE CROSS LA | 
| 1903191 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Louisiana) | Primary | 
| Provider Name | Susan A Howard | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578562500 PECOS PAC ID: 3779515226 Enrollment ID: I20050906000312  | 
| Provider Name | Lisa D. Cazalot | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1649341082 PECOS PAC ID: 4486756681 Enrollment ID: I20070219000308  | 
| Provider Name | Roger A Smith | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1023045671 PECOS PAC ID: 3971400565 Enrollment ID: I20070414000106  | 
| Provider Name | Lalisa P Wade | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1710161385 PECOS PAC ID: 5294819439 Enrollment ID: I20080226000642  | 
| Provider Name | Cynthia M Gray | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1104140987 PECOS PAC ID: 2567359698 Enrollment ID: I20100301000817  | 
| Provider Name | Ashley B Olivier | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1255649570 PECOS PAC ID: 6901083864 Enrollment ID: I20110602000500  | 
| Provider Name | Ruby Iva Ward | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750335782 PECOS PAC ID: 3072525450 Enrollment ID: I20111010000091  | 
| Provider Name | Brenda Lee Brown | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1508294505 PECOS PAC ID: 0042448276 Enrollment ID: I20151209002333  | 
| Provider Name | Huey H Moak | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1992776835 PECOS PAC ID: 9830223288 Enrollment ID: I20160406000309  | 
| Provider Name | Susan E Morphis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1952825572 PECOS PAC ID: 3476827007 Enrollment ID: I20170921000207  | 
| Provider Name | Jacob Victor Crawford | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962987586 PECOS PAC ID: 3870847437 Enrollment ID: I20181116002274  | 
| Provider Name | Tonette Harris-haynes | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205343803 PECOS PAC ID: 9739448127 Enrollment ID: I20181212001488  | 
| Provider Name | Erica F Smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134659881 PECOS PAC ID: 7911248141 Enrollment ID: I20190416001127  | 
| Provider Name | Jessica Beard | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1386129757 PECOS PAC ID: 2365796679 Enrollment ID: I20190823001089  | 
| Provider Name | Summer Leigh Greer | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134705189 PECOS PAC ID: 7517366420 Enrollment ID: I20210526001629  | 
| Provider Name | Leigh Ann Chafton | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497324818 PECOS PAC ID: 8820493356 Enrollment ID: I20210823000866  | 
| Provider Name | Judith Wangari Gichia-waldrop | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1396363420 PECOS PAC ID: 9739509811 Enrollment ID: I20211005001125  | 
| Provider Name | Samantha Elizabeth Strange | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124727102 PECOS PAC ID: 1951758127 Enrollment ID: I20231109000537  | 
| Provider Name | Carolyn Cardin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023797347 PECOS PAC ID: 4587000492 Enrollment ID: I20240314001092  | 
| Provider Name | Sarah Wiley Duncan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1871339127 PECOS PAC ID: 9830637966 Enrollment ID: I20240820002109  | 
| Provider Name | Alexandra Paige Frey | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962246538 PECOS PAC ID: 8628501434 Enrollment ID: I20241101000501  | 
Catahoula Parish Hospital District No 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Chisum Street, Sicily Island, LA 71368 Phone: 318-389-5727 Fax: 318-389-9943  | |
Catahoula Parish Hospital District No. 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Chisum St, Sicily Island, LA 71368 Phone: 318-389-9941 Fax: 318-389-4028  | |
Catahoula Parish Hospital No. 2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 Chisum St, Sicily Island, LA 71368 Phone: 318-389-5727 Fax: 318-389-4028  |