Organization Name: | HOSPITAL SERVICE DISTRICT NO. 2 |
NPI Number: | 1275701518 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENA B. MOUISSET (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 210 Champagne Blvd Breaux Bridge |
State: | LA US |
Postal Code: | 705173700 |
Phone Number: | 3375071201 |
Fax Number: | 3373325092 |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |