# ST MARTIN HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST MARTIN HOSPITAL, INC.
- **Other names:** St. Martin Hospital Specialty Center, St Martin Hospital Wound Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619469202
- **Legal business name:** ST MARTIN HOSPITAL, INC.
- **Authorized official:** SANDRA KELLER (VP COMPLIANCE)
- **Authorized official phone:** (337) 289-8684

## Contact information

- **Practice address:** 1555 GARY DR STE A, BREAUX BRIDGE, LA 70517-3448
- **Practice address phone:** (337) 909-2474
- **Mailing address:** 920 W PINHOOK RD, LAFAYETTE, LA 70503-2455
- **Mailing address phone:** (337) 289-8684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 672 | LA | Yes |
| 282NC0060X | Critical Access Hospital | 672 | LA | — |

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 01/22/2020