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Organization
PHYSICIANS MEDICAL CENTER, LLC
Active
Organization
PHYSICIANS MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS L PEOPLES (PRESIDENT AND BOARD CHAIR)
(985) 873-3520
Entity
Organization
Contact information
Practice address
218 CORPORATE DR, HOUMA, LA 70360-2768
(985) 853-1390
(985) 853-1470
Mailing address
218 CORPORATE DR, HOUMA, LA 70360-2768
(985) 853-1390
(985) 853-1470
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1767611
—
LA
05
—
1947083
—
LA
01
—
60168
BLUE CROSS
LA
01
—
C1523
BLUE CROSS PROFESSIONAL
LA
Enumeration date
05/26/2006
Last updated
07/21/2023
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