Provider Demographics
NPI:1073652053
Name:UNION GENERAL HOSPITAL
Entity type:Organization
Organization Name:UNION GENERAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVALYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ORMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-368-7090
Mailing Address - Street 1:1025 MARION HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-0700
Mailing Address - Country:US
Mailing Address - Phone:318-368-9745
Mailing Address - Fax:318-368-0072
Practice Address - Street 1:1025 MARION HWY.
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-9314
Practice Address - Country:US
Practice Address - Phone:318-368-9745
Practice Address - Fax:318-368-0072
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNION GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CS82OtherMEDICARE GROUP PART B