Organization
LAFAYETTE SURGICAL HOSPITAL LLC
Active
Other names
Lafayette Surgical Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
1101 KALISTE SALOOM RD, LAFAYETTE, LA 70508
(337) 769-4100
(337) 769-4209
Mailing address
1101 KALISTE SALOOM RD, LAFAYETTE, LA 70508
(337) 769-4100
(337) 769-4209
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
524
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1703036
—
LA
01
—
60695
BLUE CROSS
LA
Enumeration date
09/07/2006
Last updated
02/08/2023
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