Organization
ST. MARTIN HOSPITAL, INC.
Active
Other names
St. Martin Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER VICKNAIR (AVP)
(337) 332-2178
Entity
Organization
Contact information
Practice address
210 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3700
(337) 332-2178
(337) 332-5092
Mailing address
210 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3700
(337) 332-2178
(337) 332-5092
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1799785
—
LA
01
—
18170
BCBS
LA
Enumeration date
05/27/2010
Last updated
02/21/2024
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