Healthcare Provider Details

I. General information

NPI: 1922055797
Provider Name (Legal Business Name): RAPIDES HEALTHCARE SYSTEM, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 11/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S SECOND ST
EUNICE LA
70535-5845
US

IV. Provider business mailing address

801 POINCIANA AVE
MAMOU LA
70554-2243
US

V. Phone/Fax

Practice location:
  • Phone: 337-457-3135
  • Fax: 337-457-2904
Mailing address:
  • Phone: 337-457-3135
  • Fax: 337-457-2904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHNNY WILLIAMS
Title or Position: CFO
Credential:
Phone: 337-584-2237