MEDICARE: HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center	052	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11212	OTHER	LA	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518935220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH

Provider Business Mailing Address
First Line	:	217 BOURG ST
Second Line	:
City	:	JEANERETTE
State	:	LA
Zip	:	70544-3503
Country	:	US
Telephone Number	:	337-276-7002
Fax Number	:	337-276-3700

Provider Business Practice Location Address
First Line	:	217 BOURG ST
Second Line	:
City	:	JEANERETTE
State	:	LA
Zip	:	70544-3503
Country	:	US
Telephone Number	:	337-276-7002
Fax Number	:	337-276-3700

Authorized Official
Title or Position	:	CFO/INTERIM CEO
Name	:	MRS. DIONNE VIATOR
Credential	:
Telephone Number	:	337-374-7107

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	11/01/2019

Similar Medicare Providers

1174365126 — KAYCI RACCA THOMAS
Practice Location Address:

217 BOURG ST
JEANERETTE, LA
70544-3503

Practice Phone: 337-276-7002
Practice Fax:

1730973850 — DEIRDRE FAYE FONTENOT
Practice Location Address:

5207 E ADMIRAL DOYLE DR
JEANERETTE, LA
70544-6401

Practice Phone: 337-579-8349
Practice Fax: 337-579-8349

1285582403 — DEIDRA M GROGAN
Practice Location Address:

907 1/2 CROWLEY DR
JEANERETTE, LA
70544-5646

Practice Phone: 337-579-3410
Practice Fax:

1114874922 — WARM AND COZY TRANSPORTATION, LLC
Practice Location Address:

6817 E ADMIRAL DOYLE DR
JEANERETTE, LA
70544-6510

Practice Phone: 337-579-1515
Practice Fax: 337-579-1515

1922051796 — MAISON TECHE, LLC
Practice Location Address:

7307 E OLD SPANISH TRL
JEANERETTE, LA
70544-6100

Practice Phone: 337-276-4514
Practice Fax: 318-473-4360

1255377313 — HENRIETTA LEE CHAMBERS NP
Practice Location Address:

1409 CHURCH ST
JEANERETTE, LA
70544-4407

Practice Phone: 337-276-6018
Practice Fax: 337-901-5805

Directions to “HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.