# SOUTHPARK COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275513798
- **Authorized official:** LINDA DEVILLE (CEO)
- **Authorized official phone:** (337) 769-4080

## Contact information

- **Practice address:** 314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
- **Practice address phone:** (337) 769-4080
- **Mailing address:** 314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
- **Mailing address phone:** (337) 769-4080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1729388 | — | LA |
| 01 | — | 61343 | BLUE CROSS | LA |