Provider Demographics
NPI:1588066104
Name:LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO.1
Entity type:Organization
Organization Name:LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO.1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:985-632-6401
Mailing Address - Street 1:200 W 134TH PL
Mailing Address - Street 2:
Mailing Address - City:CUT OFF
Mailing Address - State:LA
Mailing Address - Zip Code:70345-4143
Mailing Address - Country:US
Mailing Address - Phone:985-632-6401
Mailing Address - Fax:985-632-1029
Practice Address - Street 1:186 W 134TH ST
Practice Address - Street 2:
Practice Address - City:CUT OFF
Practice Address - State:LA
Practice Address - Zip Code:70345-4155
Practice Address - Country:US
Practice Address - Phone:985-325-9700
Practice Address - Fax:985-325-9701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT #1
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-26
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care