| Catahoula Parish Hospital No. 2 | |
| 
					307 Chisum St Sicily Island LA 71368-4807  | |
| (318) 389-5727 | |
| (318) 389-4028 | 
| Full Name | Catahoula Parish Hospital No. 2 | 
|---|---|
| Speciality | Family Medicine | 
| Location | 307 Chisum St, 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 No. 2 302 Bushley St Harrisonburg LA 71340-1656 Ph: (318) 389-5727  | Catahoula Parish Hospital No. 2 307 Chisum St Sicily Island LA 71368-4807 Ph: (318) 389-5727  | 
| NPI Number | 1821459835 | 
|---|---|
| Provider Enumeration Date | 03/18/2016 | 
| Last Update Date | 05/09/2022 | 
| Medicare PECOS PAC ID | 8729067434 | 
|---|---|
| Medicare Enrollment ID | O20170915002716 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821459835 | NPI | - | NPPES | 
| 1903191 | Medicaid | LA | |
| 10464 | Other | LA | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 018530 (Louisiana) | Primary | 
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 District No 2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 Chisum Street, Sicily Island, LA 71368 Phone: 318-389-5727 Fax: 318-389-4028  |