| Organization Name: | PHC -OPELOUSAS LP |
| NPI Number: | 1043318082 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM M. GRACEY (COO) |
| Mailing Address: | 3983 I-49 South Service Road Opelousas |
| State: | LA US |
| Postal Code: | 70570 |
| Phone Number: | 3379482107 |
| Fax Number: | 3379482173 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |