Organization
VERMILION HOSPITAL , INC
Active
Other names
Vermilion Hospital for Psychiatric and Addictive Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS BETANCES (ADMINISTRATOR)
(337) 234-5614
Entity
Organization
Contact information
Practice address
2520 N UNIVERSITY AVE, LAFAYETTE, LA 70507-5306
(337) 234-5614
(337) 291-6055
Mailing address
2520 N UNIVERSITY AVE, LAFAYETTE, LA 70507-5306
(337) 234-5614
(337) 291-6055
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
471
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1709981
—
IA
01
—
60495
BC & BS CD
IA
01
—
60496
BC &BS PSYCH
IA
Enumeration date
04/20/2006
Last updated
08/22/2020
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