Provider Demographics
NPI:1386784569
Name:CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Entity type:Organization
Organization Name:CATAHOULA PARISH HOSPITAL DISTRICT NO 2
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MIESCH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:318-389-5727
Mailing Address - Street 1:PO BOX 269
Mailing Address - Street 2:126 WATSON STREET
Mailing Address - City:WISNER
Mailing Address - State:LA
Mailing Address - Zip Code:71378-0269
Mailing Address - Country:US
Mailing Address - Phone:318-724-7008
Mailing Address - Fax:318-724-7646
Practice Address - Street 1:126 WATSON STREET
Practice Address - Street 2:
Practice Address - City:WISNER
Practice Address - State:LA
Practice Address - Zip Code:71378-0269
Practice Address - Country:US
Practice Address - Phone:318-724-7008
Practice Address - Fax:318-724-7646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1946036Medicaid
LA10464OtherBLUE CROSS LA
LA1903191Medicaid
LA1946036Medicaid
191824Medicare Oscar/Certification