Provider Demographics
NPI:1669431847
Name:WARDS 3, 4 & 10 HOSPITAL SERVICE DISTRICT PARISH OF UNION
Entity type:Organization
Organization Name:WARDS 3, 4 & 10 HOSPITAL SERVICE DISTRICT PARISH OF UNION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-285-9066
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:BERNICE
Mailing Address - State:LA
Mailing Address - Zip Code:71222-0302
Mailing Address - Country:US
Mailing Address - Phone:318-285-9066
Mailing Address - Fax:318-285-9065
Practice Address - Street 1:402 2ND STREET
Practice Address - Street 2:
Practice Address - City:BERNICE
Practice Address - State:LA
Practice Address - Zip Code:71222-0302
Practice Address - Country:US
Practice Address - Phone:318-285-9066
Practice Address - Fax:318-285-9065
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WARD 3, 4 & 10 HOSPITAL SERVICE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-17
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA215RHC-1261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1946044Medicaid
LA193416Medicare UPIN