Healthcare Provider Details

I. General information

NPI: 1639147085
Provider Name (Legal Business Name): IBERIA GENERAL HOSPITAL & MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date: 06/05/2006
Reactivation Date: 07/26/2006

III. Provider practice location address

2308 E MAIN ST
NEW IBERIA LA
70560-4032
US

IV. Provider business mailing address

PO BOX 9196
NEW IBERIA LA
70562-9196
US

V. Phone/Fax

Practice location:
  • Phone: 337-560-5005
  • Fax: 337-560-9757
Mailing address:
  • Phone: 337-560-5005
  • Fax: 337-560-9757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES H YOUREE
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential: FACHE
Phone: 337-374-7104