| Concordia Parish Hospital Service District Number One | |
|
1643 Carter St Vidalia LA 71373-3156 | |
| (318) 336-8707 | |
| Not Available |
| Full Name | Concordia Parish Hospital Service District Number One |
|---|---|
| Speciality | Clinic/Center |
| Location | 1643 Carter St, Vidalia, Louisiana |
| Authorized Official Name and Position | Nekeisha Lashay Smith (ADMINISTRATOR) |
| Authorized Official Contact | 3187193636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concordia Parish Hospital Service District Number One Po Box 111 Ferriday LA 71334-0111 Ph: () - | Concordia Parish Hospital Service District Number One 1643 Carter St Vidalia LA 71373-3156 Ph: (318) 336-8707 |
| NPI Number | 1780190322 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 4587559935 |
|---|---|
| Medicare Enrollment ID | O20171213002360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780190322 | NPI | - | NPPES |
| 2481011 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary |
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