Healthcare Provider Details
I. General information
NPI: 1821024563
Provider Name (Legal Business Name): VERMILION HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2006
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2520 N. UNIVERSITY AVE
LAFAYETTE LA
70507
US
IV. Provider business mailing address
6100 TOWER CIR STE 1000
FRANKLIN TN
37067-1509
US
V. Phone/Fax
- Phone: 337-234-5614
- Fax: 337-235-0696
- Phone: 615-861-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283Q00000X |
| Taxonomy | Psychiatric Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRIAN
P
FARLEY
Title or Position: VP & SECRETARY
Credential:
Phone: 615-861-6000