MEDICARE: LAFAYETTE GENERAL MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit	207	LA

General Provider Information

NPI Number	:	1770557746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAFAYETTE GENERAL MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	1214 COOLIDGE BLVD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2621
Country	:	US
Telephone Number	:	337-289-8860
Fax Number	:	337-289-8839

Provider Business Practice Location Address
First Line	:	302 DULLES DR
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-3008
Country	:	US
Telephone Number	:	337-289-8860
Fax Number	:	337-289-8839

Authorized Official
Title or Position	:	CEO
Name	:	AL JUDE PATIN
Credential	:
Telephone Number	:	337-289-7743

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	12/17/2025

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