# ST. JOSEPH'S CLINIC OF LOUISIANA

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

## Provider details

- **NPI number:** 1437042959
- **Authorized official:** ANTOINETTE RABENALDT (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (337) 330-2576

## Contact information

- **Practice address:** 1409 CHURCH ST, JEANERETTE, LA 70544-4407
- **Practice address phone:** (337) 276-6018
- **Practice address fax:** (337) 901-5805
- **Mailing address:** 302 HACKER ST, NEW IBERIA, LA 70560-4508
- **Mailing address phone:** (337) 330-2576
- **Mailing address fax:** (337) 321-6295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2025
- **Last updated:** 08/28/2025