Healthcare Provider Details
I. General information
NPI: 1831124148
Provider Name (Legal Business Name): THE REGIONAL HEALTH SYSTEM OF ACADIANA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2006
Last Update Date: 07/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2810 AMBASSADOR CAFFERY PKWY
LAFAYETTE LA
70506-5906
US
IV. Provider business mailing address
2810 AMBASSADOR CAFFERY PKWY
LAFAYETTE LA
70506-5906
US
V. Phone/Fax
- Phone: 337-989-6700
- Fax: 337-989-6703
- Phone: 337-989-6700
- Fax: 337-989-6703
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
MILLER
Title or Position: CFO
Credential:
Phone: 337-989-6700