Organization
UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R SMITHBURG (VICE CHANCELLOR/CEO)
(225) 922-1474
Entity
Organization
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6000
(337) 261-6003
Mailing address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6000
(337) 261-6003
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61037
BCBS CDU
LA
Enumeration date
07/18/2006
Last updated
08/22/2020
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