1578566261 NPI number — HOSPITAL SERVICE DISTRICT NO. 1 OF POINTE COUPEE, LOUISIANA, INC.

Table of content: (NPI 1578566261)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578566261 NPI number — HOSPITAL SERVICE DISTRICT NO. 1 OF POINTE COUPEE, LOUISIANA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL SERVICE DISTRICT NO. 1 OF POINTE COUPEE, LOUISIANA, INC.
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:
1578566261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
350 HOSPITAL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ROADS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70760-2621
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-638-5717
Provider Business Mailing Address Fax Number:
225-638-5849

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
350 HOSPITAL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ROADS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70760-2621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-638-5717
Provider Business Practice Location Address Fax Number:
225-638-5849
Provider Enumeration Date:
05/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
THIBODEAUX
Authorized Official First Name:
JEANINE
Authorized Official Middle Name:
LAURENT
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
225-618-2802

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  176 , 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)

  • Identifier: 1401544 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com