DEQUINCY MEMORIAL HOSPITAL,INC (NPI# 1518960806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518960806 |
| Entity Type | Organization |
| Organization Name | DEQUINCY MEMORIAL HOSPITAL,INC |
| Practice Address |
110 W 4th St Dequincy LA 70633-3508 |
| Practice Telephone | 3377861200 |
| Practice Fax Number | 3377861219 |
| Mailing Telephone | 3377861200 |
| Mailing Fax Number | 3377861219 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2010-06-02 |
| Authorized Official Name | MRS. BRENDA B COOLEY (INSURANCE MANAGER) |
| Authorized Official Telephone | 3377861200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
========= | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1741795 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558520957 | Dequincy Memorial Hospital,inc | Medicare Defined Swing Bed Unit | 110 W 4th St, Dequincy, LA 70633-3508 | 2008-06-02 |
| Street Address |
110 W 4TH ST |
| City | DEQUINCY |
| State | LA |
| Zip Code | 70633-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902469653 | Clhg-dequincy, LLC | General Acute Care Hospital | 110 W 4th St, Dequincy, LA 70633-3508 | 2019-04-18 |
| 1538722285 | Clhg-dequincy, LLC | Psychiatric Unit | 110 W 4th St, Dequincy, LA 70633-3508 | 2019-04-18 |
| 1447813191 | Clhg-dequincy, LLC | Medicare Defined Swing Bed Unit | 110 W 4th St, Dequincy, LA 70633-3508 | 2019-04-18 |
| 1750845301 | Buxton Emergency Group, LLC | Physician Assistant | 110 W 4th St, Dequincy, LA 70633-3508 | 2019-01-29 |
| 1811213366 | Dequincy Memorial Hospital Inc | Psychiatric Unit | 110 W 4th St, Dequincy, LA 70633-3508 | 2010-04-08 |
| 1558520957 | Dequincy Memorial Hospital,inc | Medicare Defined Swing Bed Unit | 110 W 4th St, Dequincy, LA 70633-3508 | 2008-06-02 |
| 1285828434 | Dequincy Memorial Hospital | General Acute Care Hospital | 110 W 4th St, Dequincy, LA 70633-3508 | 2007-08-30 |
| 1225242837 | Rehabilitation Hospital of Dequincy, L.L.C. | Rehabilitation Hospital | 110 W 4th St, Dequincy, LA 70633-3508 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508036690 | John Craig Crawford | Emergency Medicine | 14925 Hwy 27, Phelps Correctional Center, Dequincy, LA 70633 | 2008-03-05 |
| 1306993191 | Kevin Michael Hamilton | Dentist | 202 S. Holly Street, Dequincy, LA 70633 | 2007-01-04 |
| 1598209207 | Lake Area Dentistry-dequincy, LLC | Clinic/Center | 824 W 4th St, Dequincy, LA 70633 | 2016-12-14 |
| 1639118078 | St Michael Pfu LLC | Skilled Nursing Facility | 602 N Division St, Dequincy, LA 70633-3129 | 2006-06-04 |
| 1548328115 | Jalal Joudeh | Internal Medicine | 601 W 4th St, Dequincy, LA 70633-3301 | 2006-12-05 |
| 1861425324 | Jalal Joudeh | Internal Medicine | 601 W 4th St, Dequincy, LA 70633-3301 | 2006-07-08 |
| 1285149690 | Jody Olmsted Arnold | Pharmacist | 702 W 4th St, Dequincy, LA 70633-3304 | 2017-12-07 |
| 1790227478 | Shanelle Buxton | Pharmacist | 702 W 4th St, Dequincy, LA 70633-3304 | 2016-11-10 |
| 1356771463 | Freds Stores of Tennessee Inc. | Pharmacy | 702 W 4th St, Dequincy, LA 70633-3304 | 2013-11-26 |
| 1710901053 | Peter T. Bayles | Dentist | 824 W 4th St, Dequincy, LA 70633-3321 | 2006-07-27 |
| Find all providers in zip 70633 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902469653 | Clhg-dequincy, LLC | General Acute Care Hospital | 110 W 4th St, Dequincy, LA 70633-3508 | 2019-04-18 |
| 1285828434 | Dequincy Memorial Hospital | General Acute Care Hospital | 110 W 4th St, Dequincy, LA 70633-3508 | 2007-08-30 |
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|---|---|---|---|---|
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| 1598905465 | St. Lukes Episcopal Hospital | General Acute Care Hospital | 905 Poydras Hwy, Breaux Bridge, LA 70517-7512 | 2009-03-04 |
| 1952565335 | Concordia Parish Hospital Service District Number One | General Acute Care Hospital | 1700 Ee Wallace Blvd N, Ferriday, LA 71334-2239 | 2008-07-15 |
| 1952579468 | Tulane University | General Acute Care Hospital | 1430 Tulane Ave # Sl78, New Orleans, LA 70112-2632 | 2008-02-19 |
| 1316133671 | Eureka Spings Hospital LLC | General Acute Care Hospital | 504 Texas St Ste 200, Shreveport, LA 71101-3526 | 2007-09-20 |
| 1811024540 | Tulane Univeristy | General Acute Care Hospital | 1430 Tulane Ave, Sl47, New Orleans, LA 70112 | 2007-02-28 |
| 1225165947 | Tulane Medical School | General Acute Care Hospital | 1430 Tulane Ave # Sl47, New Orleans, LA 70112-2632 | 2007-02-28 |
| 1639263189 | Lasalle Parish Hospital Service Dist No1 | General Acute Care Hospital | 1102 North Pine Road, Olla, LA 71465 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.