Organization
PHC-OPELOUSAS LP
Active
Parent organization
PHC-OPELOUSAS LP
Other names
Doctors Hospital of Opelousas-rehabilitation unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHC-OPELOUSAS LP
Authorized official
WILLIAM M. GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
3983 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 948-2100
(337) 948-2173
Mailing address
103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60086
BLUE CROSS
LA
Enumeration date
10/12/2006
Last updated
09/09/2008
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