# PHC -OPELOUSAS LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctors Hospital of Opelousas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043318082
- **Authorized official:** WILLIAM M. GRACEY (COO)
- **Authorized official phone:** (615) 372-8500

## Contact information

- **Practice address:** 3983 I-49 SOUTH SERVICE ROAD, OPELOUSAS, LA 70570
- **Practice address phone:** (337) 948-2107
- **Practice address fax:** (337) 948-2173
- **Mailing address:** 103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
- **Mailing address phone:** (615) 372-8500
- **Mailing address fax:** (615) 372-8572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 417 | LA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 09/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1766984 | — | LA |