Provider Demographics
NPI:1538784541
Name:MERCY BEHAVIORAL HOSPITAL LLC
Entity type:Organization
Organization Name:MERCY BEHAVIORAL HOSPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYFORD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:318-443-4000
Mailing Address - Street 1:2230 S MACARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3057
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2810 US HWY 71
Practice Address - Street 2:
Practice Address - City:LECOMPTE
Practice Address - State:LA
Practice Address - Zip Code:71346-0000
Practice Address - Country:US
Practice Address - Phone:318-290-3900
Practice Address - Fax:318-373-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital