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
MR. DAVID L CALLECOD (AUTHORIZED DELEGATE)
(337) 289-7374
Entity
Organization
Contact information
Practice address
210 CHAMPAGNE BOULEVARD, BREAUX BRIDGE, LA 70517-3700
(337) 332-2178
(337) 332-5092
Mailing address
210 CHAMPAGNE BOULEVARD, BREAUX BRIDGE, LA 70517-3700
(337) 332-2178
(337) 332-5092
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31482
BCBS
LA
Enumeration date
09/14/2009
Last updated
01/12/2023
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