Organization
SOUTHPARK ACQUISITION COMPANY LLC
Active
Other names
Southpark Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PROMOD SETH (CEO)
(337) 769-4080
Entity
Organization
Contact information
Practice address
314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
(337) 769-4080
(337) 769-4078
Mailing address
314 YOUNGSVILLE HWY, LAFAYETTE, LA 70508-4524
(337) 769-4080
(337) 769-4078
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448583
—
LA
05
—
1729388
—
LA
Enumeration date
10/30/2007
Last updated
11/14/2008
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