# ST. JAMES PARISH HOSP SERV DIST

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Poche' Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649617689
- **Authorized official:** MARY ELLEN G PRATT (CEO)
- **Authorized official phone:** (225) 258-5990

## Contact information

- **Practice address:** 1645 LUTCHER AVE, LUTCHER, LA 70071-5150
- **Practice address phone:** (225) 869-3493
- **Practice address fax:** (225) 869-9333
- **Mailing address:** 1645 LUTCHER AVE, LUTCHER, LA 70071-5150
- **Mailing address phone:** (225) 258-5906
- **Mailing address fax:** (225) 869-5271

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2013
- **Last updated:** 05/08/2017