# VERMILION PARISH HOSPITAL SERVICE DISTRICT \#3

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gueydan Memorial Guest Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417945536
- **Authorized official:** CRAIG ROBERT HENSGENS (ADMINISTRATOR)
- **Authorized official phone:** (337) 536-6584

## Contact information

- **Practice address:** 1201 3RD ST, GUEYDAN, LA 70542-3013
- **Practice address phone:** (337) 536-6584
- **Practice address fax:** (337) 536-9611
- **Mailing address:** 1201 3RD ST, PO BOX 510, GUEYDAN, LA 70542-3013
- **Mailing address phone:** (337) 536-6584
- **Mailing address fax:** (337) 536-9611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 476 | LA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | LA | — |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 12/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518409 | — | LA |
| 05 | — | 1569216 | — | LA |
| 01 | — | 30158 | BLUECROSS BLUESHIELD | LA |