Healthcare Provider Details

I. General information

NPI: 1104527993
Provider Name (Legal Business Name): KAPLAN GENERAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W 7TH ST
KAPLAN LA
70548-2910
US

IV. Provider business mailing address

PO BOX 53247
LAFAYETTE LA
70505-3247
US

V. Phone/Fax

Practice location:
  • Phone: 337-643-8300
  • Fax: 337-643-5309
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRYCE QUEBODEAUX
Title or Position: CEO
Credential:
Phone: 337-643-8300