Organization
PHC-OPELOUSAS LP
Active
Parent organization
PHC-OPELOUSAS LP
Other names
Doctors Hospital of Opelousas
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHC-OPELOUSAS LP
Authorized official
MR. WILLIAM M. GRACEY COO (CHIEF OPERATING OFFICER)
(615) 372-8500
Entity
Organization
Contact information
Practice address
3983 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 948-2107
(337) 948-2173
Mailing address
3983 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0758
(337) 948-2107
(337) 948-2173
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
LA
207P00000X
Emergency Medicine Physician
—
LA
207Q00000X
Family Medicine Physician
—
LA
207R00000X
Internal Medicine Physician
—
LA
2085R0202X
Diagnostic Radiology Physician
—
LA
208600000X
Surgery Physician
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706841
—
LA
01
—
CH1013
RAILROAD MEDICARE
LA
Enumeration date
06/06/2008
Last updated
09/12/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up