| Catahoula Parish Hospital District No 2 | |
|
126 Watson Street Wisner LA 71378-0269 | |
| (318) 724-7008 | |
| (318) 724-7646 |
| Full Name | Catahoula Parish Hospital District No 2 |
|---|---|
| Speciality | Clinic/Center |
| Location | 126 Watson Street, Wisner, 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 269 126 Watson Street Wisner LA 71378-0269 Ph: (318) 724-7008 | Catahoula Parish Hospital District No 2 126 Watson Street Wisner LA 71378-0269 Ph: (318) 724-7008 |
| NPI Number | 1386784569 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 05/09/2022 |
| Medicare PECOS PAC ID | 8729067434 |
|---|---|
| Medicare Enrollment ID | O20101011000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386784569 | NPI | - | NPPES |
| 1946036 | 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 |
Caldwell Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3286 Oak St, Wisner, LA 71378 Phone: 318-724-6789 Fax: 318-724-6788 |