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Contact Information

G B COOLEY HOSPITAL FOR RETARDED
211 N 3RD ST
MONROE, LA71201-6731
 Phone: 318-397-6679
 Fax: 318-397-9271
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Community Based Residential Treatment Facility, Mental Illness

320800000X
Indicates primary specialty

NPI Profile & details for G B COOLEY HOSPITAL FOR RETARDED

NPI Number 1154876837
LBN Legal business name G B COOLEY HOSPITAL FOR RETARDED
Authorized official JIMMY SANDERLIN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2016
Last updated 08/23/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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