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Organization

PHYSICIANS MEDICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHYLLIS L PEOPLES (PRESIDENT AND BOARD CHAIR)
(985) 873-3520
Entity
Organization

Contact information

Practice address
218 CORPORATE DR, HOUMA, LA 70360-2768
(985) 853-1390
(985) 853-1470
Mailing address
218 CORPORATE DR, HOUMA, LA 70360-2768
(985) 853-1390
(985) 853-1470

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
435
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1767611
LA
05
1947083
LA
01
60168
BLUE CROSS
LA
01
C1523
BLUE CROSS PROFESSIONAL
LA
Enumeration date
05/26/2006
Last updated
07/21/2023
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