Organization · Type 2 NPI

Bastrop Rehabilitation Hospital, LLC

Rural Health Clinic/Center · Monroe, LA

NPI number 1033618616 Active

Practice location

4310 S Grand St Ste 1
Monroe, LA 71202-6322

Call (318) 746-0420 Map

Fax (318) 752-1940

Mailing address

816 Benton Rd
Bossier City, LA 71111-3744

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Bastrop Rehabilitation Hospital, LLCHealth Service Clinic/Center Monroe, LA NPI 1760961338

NPI record

NPI: 1033618616
Entity type: Organization (Type 2)
Issued: Feb 8, 2018
Last updated: Feb 8, 2018
Status: Active
Subpart: Yes of Bastrop Rehabilitation Hospital, LLC

Other names

<unavail>
South Ouachita Clinic · doing business as

Authorized official

William Means
Administrator
(318) 746-0420

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033618616

Bastrop Rehabilitation Hospital, LLC's National Provider Identifier is 1033618616, issued on Feb 8, 2018. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Monroe, LA. The record was last updated on Feb 8, 2018.