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Organization
SOUTHPARK COMMUNITY HOSPITAL
Active
Organization
SOUTHPARK COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA DEVILLE (CEO)
(337) 769-4080
Entity
Organization
Contact information
Practice address
314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
(337) 769-4080
Mailing address
314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
(337) 769-4080
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
204F00000X
Transplant Surgery Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1729388
—
LA
01
—
61343
BLUE CROSS
LA
Enumeration date
01/19/2006
Last updated
09/11/2025
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