Desoto Healthcare Center Inc.

LBN: Desoto Healthcare Center Inc.
Desoto Healthcare Center Inc. is an health care organization with primary practice located at 938 Louise St , Mansfield LA 71052. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Desoto Healthcare Center Inc. can be contacted via phone (318) 871-1633, or through Gannon, Connie B via phone (318) 871-1633.

Contact Information

Primary practice address
938 Louise St Mansfield LA 71052
Phone: (318) 871-1633
Fax: (318) 871-1677
Website:
Map and Directions
Authorized official contact:
Name: Gannon, Connie B Family Nurse Practitioner (FNP)
Phone: (318) 871-1633

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD199935 Louisiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 1487481 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1996971 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 03124 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 020173 Louisiana

Profile Details

NPI number 1811209232
LBN Legal business name Desoto Healthcare Center Inc.
DBA Doing business as
Authorized official Gannon, Connie B Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2010
Last updated Dec 23rd, 2011 - about 15 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 1811209232 NPPES
Louisiana MEDICAID 2117629

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