DESOTO HOSPITAL ASSOCIATION (NPI# 1457489593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457489593 |
| Entity Type | Organization |
| Organization Name | DESOTO HOSPITAL ASSOCIATION |
| Other Organization Name | DESOTO REGINAL FAMILY MEDICINE - LOGANSPORT |
| Practice Address |
808 Main Street Logansport LA 71049 |
| Practice Telephone | 3186972273 |
| Practice Fax Number | 3186972277 |
| Mailing Telephone | 3186972273 |
| Mailing Fax Number | 3186972277 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | HALLIE DEUTSCH (CREDENTIALING) |
| Authorized Official Telephone | 3188724610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1445932 | 05 | |
| LA | MDEICARE | 5C630 | 01 |
| LA | MEDICARE | 193448 | 01 |
| Other Name | Type Code |
|---|---|
| DeSoto Reginal Family Medicine - Logansport | Doing Business As Name - Organization |
| Desoto Regional Family Medicine - Logansport | Doing Business As Name - Organization |
| DeSoto Regional Family Medicine Logansport | Doing Business As Name - Organization |
| DeSoto Regional Family Medicine- Logansport | Doing Business As Name - Organization |
| DeSoto Regional Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043359839 | Desoto Hospital Association | Clinic/Center | 130 Jefferson St, Mansfield, LA 71052-2602 | 2007-02-06 |
| 1932246378 | Desoto Hospital Association | General Practice | 2026 Obrie Street, Zwolle, LA 71486-1339 | 2007-02-01 |
| 1467455154 | Desoto Hospital Association | General Acute Care Hospital | 207 Jefferson St, Mansfield, LA 71052-2603 | 2005-05-27 |
| 1043580624 | Desoto Hospital Association | Clinic/Center | 130 Jefferson St, Mansfield, LA 71052-2602 | 2012-01-12 |
| 1962706051 | Desoto Hospital Association | Clinic/Center | 130 Jefferson St, Mansfield, LA 71052-2602 | 2011-01-04 |
| 1679730667 | Desoto Hospital Association | General Acute Care Hospital | 207 Jefferson St, Mansfield, LA 71052-2603 | 2008-05-19 |
| 1669541850 | Desoto Hospital Association | Medicare Defined Swing Bed Unit | 207 Jefferson St, Mansfield, LA 71052-2603 | 2006-11-06 |
| 1578632766 | Desoto Hospital Association | Psychiatric Unit | 207 Jefferson St, Mansfield, LA 71052-2603 | 2006-11-06 |
| Street Address |
808 MAIN STREET |
| City | LOGANSPORT |
| State | LA |
| Zip Code | 71049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790750362 | Melissa Sistrunk Richardson | Nurse Practitioner | 808 Main Street, Desoto Regional Family Medicine, Logansport, LA 71049 | 2006-02-17 |
| 1801028493 | Katherine Latreas Brame | Physician Assistant | 808 Main Street, Logansport, LA 71049 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932396660 | Francie Louann Woods | Speech-Language Pathologist | 209 Sycamore Street, Logansport, LA 71049 | 2007-09-26 |
| 1003464264 | Inner Quality Services | Non-emergency Medical Transport (VAN) | 304 Main Street, Logansport, LA 71049 | 2019-08-30 |
| 1841859279 | Inner Quality Services | Respite Care | 304 Main Street, Logansport, LA 71049 | 2019-06-10 |
| 1124681390 | Inner Quality Services | Home Health Aide | 304 Main Street, Logansport, LA 71049 | 2019-04-15 |
| 1033772207 | Inner Quality Services | Respite Care | 304 Main Street, Logansport, LA 71049 | 2019-04-15 |
| 1679072847 | Inner Quality Services | Technician | 304 Main Street, Logansport, LA 71049 | 2018-02-02 |
| 1720524994 | Sh;ronda Carter | Case Manager/Care Coordinator | 110 Spring St, Logansport, LA 71049 | 2017-01-12 |
| 1174993315 | Tanesha Williams Hall | Counselor | 304 Main Street, Logansport, LA 71049 | 2015-09-30 |
| 1164448957 | Bennie Gene Owens | Pharmacist | 204 Main St., Logansport, LA 71049-0068 | 2006-07-14 |
| 1902268808 | Holly Sons | Counselor | 325 Murphrey Rd, Logansport, LA 71049-2181 | 2016-03-22 |
| Find all providers in zip 71049 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1215561576 | Memorial Hospital | Clinic/Center | 1201 Michigan Ave Ste 270, Logansport, IN 46947-1530 | 2020-02-26 |
| 1821648155 | Memorial Hospital | Clinic/Center | 3400 E Market St, Logansport, IN 46947-2295 | 2019-09-18 |
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| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
| City | LOGANSPORT |
| Zip Code | 71049 |
Please comment or provide details below to improve the information on DESOTO HOSPITAL ASSOCIATION.
| 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.