Organization
IBERIA GENERAL HOSPITAL & MEDICAL CENTER
Active
Parent organization
IBERIA GENERAL HOSPITAL & MEDICAL CENTER
Other names
Iberia Medical Center Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
IBERIA GENERAL HOSPITAL & MEDICAL CENTER
Authorized official
MR. JOHN A TUCKER (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(337) 374-7104
Entity
Organization
Contact information
Practice address
2313 E MAIN ST, SUITE D, NEW IBERIA, LA 70560-4091
(337) 364-4422
(337) 364-9955
Mailing address
2313 E MAIN ST, SUITE D, NEW IBERIA, LA 70560-4091
(337) 364-4422
(337) 364-9955
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
774
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1406261
—
LA
01
—
34317
BLUE CROSS
LA
Enumeration date
03/09/2006
Last updated
11/12/2007
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