Healthcare Provider Details

I. General information

NPI: 1902846603
Provider Name (Legal Business Name): LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 01/11/2022
Certification Date: 01/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 W 134TH PL
CUT OFF LA
70345-4128
US

IV. Provider business mailing address

144 W 134TH PL
CUT OFF LA
70345-4128
US

V. Phone/Fax

Practice location:
  • Phone: 985-632-6233
  • Fax: 985-632-7526
Mailing address:
  • Phone: 985-632-6233
  • Fax: 985-632-7526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TAD A LAFONT
Title or Position: CHIEF CLINIC OFFICER
Credential: RN
Phone: 985-632-6401