Organization
ST. MARTIN HOSPITAL, INC.
Active
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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