Provider Demographics
NPI:1447465075
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:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-285-9066
Mailing Address - Street 1:PO BOX 697
Mailing Address - Street 2:
Mailing Address - City:BERNICE
Mailing Address - State:LA
Mailing Address - Zip Code:71222
Mailing Address - Country:US
Mailing Address - Phone:318-285-9066
Mailing Address - Fax:318-285-7234
Practice Address - Street 1:409 1ST STREET
Practice Address - Street 2:
Practice Address - City:BERNICE
Practice Address - State:LA
Practice Address - Zip Code:71222-0697
Practice Address - Country:US
Practice Address - Phone:318-285-9066
Practice Address - Fax:318-285-7234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA215275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA19Z326Medicare Oscar/Certification