| Caldwell Memorial Hospital, Inc. | |
| 
					3286 Oak St Wisner LA 71378  | |
| (318) 724-6789 | |
| (318) 724-6788 | 
| Full Name | Caldwell Memorial Hospital, Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 3286 Oak St, Wisner, Louisiana | 
| Authorized Official Name and Position | Rhonda Etheridge (OFFICE MANAGER) | 
| Authorized Official Contact | 3187246789 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Caldwell Memorial Hospital, Inc. Po Box 899 Columbia LA 71418-0899 Ph: (318) 649-6111  | Caldwell Memorial Hospital, Inc. 3286 Oak St Wisner LA 71378 Ph: (318) 724-6789  | 
| NPI Number | 1396911574 | 
|---|---|
| Provider Enumeration Date | 05/07/2008 | 
| Last Update Date | 03/09/2020 | 
| Medicare PECOS PAC ID | 9638063944 | 
|---|---|
| Medicare Enrollment ID | O20061117000146 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396911574 | NPI | - | NPPES | 
| 1408743 | Medicaid | LA | |
| 193471 | Other | LA | MEDICARE PROVIDER # | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Louisiana) | Primary | 
Catahoula Parish Hospital District No 2 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 Watson Street, Wisner, LA 71378 Phone: 318-724-7008 Fax: 318-724-7646  |