Healthcare Provider Details

I. General information

NPI: 1922940840
Provider Name (Legal Business Name): THIBODAUX REGIONAL HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 N ACADIA RD STE 30
THIBODAUX LA
70301-4823
US

IV. Provider business mailing address

416 S TYLER ST
AMARILLO TX
79101-2346
US

V. Phone/Fax

Practice location:
  • Phone: 806-242-7782
  • Fax:
Mailing address:
  • Phone: 806-242-7782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOEL WRIGHT
Title or Position: PRESIDENT, PHARMACY SERVICES
Credential:
Phone: 806-242-7782