Organization
BAYOU HEALTHCARE, LLC
Active
Other names
Crossroads Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN LEWIS (BUSINESS OFFICE MANAGER)
(318) 448-7317
Entity
Organization
Contact information
Practice address
110 JOHN ESKEW DR, ALEXANDRIA, LA 71303-0000
(318) 445-5111
(318) 767-1307
Mailing address
44 VERSAILLES BLVD, ALEXANDRIA, LA 71303
(318) 445-5111
(318) 442-2261
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
433
LA
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
695
LA
283Q00000X
Psychiatric Hospital
Primary
695
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947962
—
LA
01
—
F6708
BCBS STAFF
LA
Enumeration date
12/20/2007
Last updated
11/14/2011
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