Healthcare Provider Details

I. General information

NPI: 1740248129
Provider Name (Legal Business Name): TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8166 MAIN STREET
HOUMA LA
70360
US

IV. Provider business mailing address

PO BOX 6037
HOUMA LA
70361-6037
US

V. Phone/Fax

Practice location:
  • Phone: 985-873-4141
  • Fax: 985-851-4307
Mailing address:
  • Phone: 985-873-4235
  • Fax: 985-851-4307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. FRANCES D YEATES
Title or Position: EXECUTIVE VICE PRESIDENT
Credential: CPA MBA
Phone: 985-873-4664