| Central La State Hospital | |
|
242 West Shamrock Street Unit 2, Room 120 Pineville LA 71360-6439 | |
| (318) 484-6665 | |
| (318) 484-6483 |
| Full Name | Central La State Hospital |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 242 West Shamrock Street, Pineville, Louisiana |
| Authorized Official Name and Position | Jeff S Linzay (PHARMACY DIRECTOR) |
| Authorized Official Contact | 3184846665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central La State Hospital 242 West Shamrock Street Unit 2, Room 120 Pineville LA 71360-6439 Ph: (318) 484-6665 | Central La State Hospital 242 West Shamrock Street Unit 2, Room 120 Pineville LA 71360-6439 Ph: (318) 484-6665 |
| NPI Number | 1427365600 |
|---|---|
| Provider Enumeration Date | 09/09/2010 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427365600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PHY-006280-INX (Louisiana) | Primary |
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