Organization · Type 2 NPI

Lasalle Parish Hospital Service District #1

Rural Health Clinic/Center · Olla, LA

NPI number 1053415745 Active

Practice location

1049 North Pine Road
Olla, LA 71465

Call (318) 495-3880 Map

Fax (318) 495-3882

Mailing address

1049 N Pine Rd
Olla, LA 71465-4826

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	178RHC-1 (LA)

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

Another provider at this address

Amanda Bruce Novak, WHNPWomen's Health Nurse Practitioner Olla, LA NPI 1689939746

NPI record

NPI: 1053415745
Entity type: Organization (Type 2)
Issued: Sep 12, 2006
Last updated: Apr 21, 2023
Status: Active

Other names

<unavail>
Hardtner Medical Clinic · doing business as
Hardtner Medical Clinic · doing business as

Authorized official

Mr. Paul G Mathews
Administrator
(318) 495-3131

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 1053415745

Lasalle Parish Hospital Service District #1's National Provider Identifier is 1053415745, issued on Sep 12, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Olla, LA. The record was last updated on Apr 21, 2023.