Provider Demographics
NPI:1902885650
Name:EAST CARROLL PARISH HOSPITAL
Entity Type:Organization
Organization Name:EAST CARROLL PARISH HOSPITAL
Other - Org Name:EAST CARROLL MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC & CENTRAL BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:318-559-3303
Mailing Address - Street 1:340 N HOOD ST
Mailing Address - Street 2:
Mailing Address - City:LAKE PROVIDENCE
Mailing Address - State:LA
Mailing Address - Zip Code:71254-2140
Mailing Address - Country:US
Mailing Address - Phone:318-559-2404
Mailing Address - Fax:318-559-1772
Practice Address - Street 1:340 N HOOD ST
Practice Address - Street 2:
Practice Address - City:LAKE PROVIDENCE
Practice Address - State:LA
Practice Address - Zip Code:71254-2140
Practice Address - Country:US
Practice Address - Phone:318-559-2404
Practice Address - Fax:318-559-1772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1947873Medicaid
LA193431Medicare ID - Type Unspecified