# IBERIA GENERAL HOSPITAL AND MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IBERIA GENERAL HOSPITAL AND MEDICAL CENTER
- **Other names:** Endocrinology Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255448973
- **Legal business name:** IBERIA GENERAL HOSPITAL AND MEDICAL CENTER
- **Authorized official:** MR. JOHN A TUCKER FACHE (PRESIDENT/CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (337) 374-7104

## Contact information

- **Practice address:** 2205 OLD JEANERETTE RD, NEW IBERIA, LA 70563-8687
- **Practice address phone:** (337) 560-1992
- **Practice address fax:** (337) 364-9102
- **Mailing address:** PO BOX 10539, NEW IBERIA, LA 70562-0539
- **Mailing address phone:** (337) 560-1992
- **Mailing address fax:** (337) 364-9102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 115 | LA | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 06/18/2008