1831444009 NPI number — HOSPITAL SERVICE DISTRICT NO. 3

Table of content: SELISHIA MICHELLE MCFARLANE NP (NPI 1558774711)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831444009 NPI number — HOSPITAL SERVICE DISTRICT NO. 3

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL SERVICE DISTRICT NO. 3
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831444009
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1118
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THIBODAUX
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70302-1118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-447-5500
Provider Business Mailing Address Fax Number:
985-446-5033

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
602 N ACADIA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THIBODAUX
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70301-4847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-447-5500
Provider Business Practice Location Address Fax Number:
985-446-5033
Provider Enumeration Date:
07/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
GAUBERT
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
985-447-5500

Provider Taxonomy Codes

  • Taxonomy code: 273R00000X , with the licence number:  148 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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