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NPI Code Detail

MEDICARE: ST. JAMES PARISH HOSP. SERV. DIST.

MEDICARE: ST. JAMES PARISH HOSP. SERV. DIST.
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
1282NC0060XCritical Access Hospital164LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
290029OTHERLABLUE CROSS OF LA

General Provider Information

NPI Number : 1588654966
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JAMES PARISH HOSP. SERV. DIST.
Provider Business Mailing Address
First Line : 1645 LUTCHER AVE
Second Line :
City : LUTCHER
State : LA
Zip : 70071-5150
Country : US
Telephone Number : 225-869-5512
Fax Number : 225-869-5271
Provider Business Practice Location Address
First Line : 1645 LUTCHER AVE
Second Line :
City : LUTCHER
State : LA
Zip : 70071-5150
Country : US
Telephone Number : 225-869-5512
Fax Number : 225-869-5271
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MRS. TRACY L GEORGE
Credential :
Telephone Number : 225-746-2901
Provider Enumeration Date : 10/26/2005
Last Update Date : 06/23/2010

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1295868065 — ST. JAMES PARISH HOSP. SERV. DIST.
Practice Location Address:
1645 LUTCHER AVE
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70071-5150
Practice Phone: 225-869-5512
Practice Fax: 225-869-5271

Directions to “ST. JAMES PARISH HOSP. SERV. DIST. ” Practice Location

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