Organization Active NPI

Hospital Service District #2 of Lasalle Parish

Doing business as LaSalle Primary Healthcare Centre

  • Rural Health Clinic/Center
  • Jonesville, LA
National Provider Identifier
1275640070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
231RHC-1 Issued in LA
Legal business name
HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH
Doing business as
LaSalle Primary Healthcare Centre
Practice address
2801 Fourth St
Jonesville, LA 71343-2004
Phone
(318) 339-9990
Fax
(318) 339-9915
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Allyson C Fannin, CPA, CFO
Title
Chief Financial Officer
Phone
(318) 992-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 231RHC-1 LA Primary

Addresses

Primary practice location

2801 Fourth St
Jonesville, LA 71343-2004

Mailing address

187 Ninth Street
PO Box 2780
Jena, LA 71342-2780
Phone (318) 992-9200

Other identifiers 1

IdentifierTypeStateIssuer
1449717MedicaidLA

Other names 1

  • LaSalle Primary Healthcare Centre Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275640070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 NINTH STREET",
            "address_2": "PO BOX 2780",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713422780",
            "telephone_number": "318-992-9200",
            "fax_number": "318-992-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FOURTH ST",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713432004",
            "telephone_number": "318-339-9990",
            "fax_number": "318-339-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "318-992-9200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA, CFO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "231RHC-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449717",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaSalle Primary Healthcare Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.