Provider Demographics
NPI:1487311825
Name:UNION GENERAL HOSPITAL
Entity type:Organization
Organization Name:UNION GENERAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EVALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-368-9751
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-0398
Mailing Address - Country:US
Mailing Address - Phone:318-368-9751
Mailing Address - Fax:
Practice Address - Street 1:901 JAMES AVE
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-2234
Practice Address - Country:US
Practice Address - Phone:318-368-9751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I4199OtherBLUE CROSS