| 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 |