Desoto Regional Family Medicine - Mansfield

LBN: Desoto Regional Family Medicine
Desoto Regional Family Medicine - Mansfield is an health care organization with primary practice located at 130 Jefferson St , Mansfield LA 71052-2602. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Desoto Regional Family Medicine can be contacted via phone (318) 872-2700, or through Deutsch, Hallie via phone (318) 871-3101.

Contact Information

Primary practice address
130 Jefferson St Mansfield LA 71052-2602
Phone: (318) 872-2700
Fax: (318) 872-6214
Website:
Map and Directions
Authorized official contact:
Name: Deutsch, Hallie
Phone: (318) 871-3101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Louisiana
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1043359839
LBN Legal business name Desoto Regional Family Medicine
DBA Doing business as Desoto Regional Family Medicine - Mansfield
Authorized official Deutsch, Hallie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043359839 NPPES
Louisiana Other CN5547 RR MEDICARE
Louisiana MEDICAID 1948357 RR MEDICARE

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