Organization
ST JAMES PARISH HOSP. SERV. DIST.
Active
Other names
St. James West Bank Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GEORGE (CFO)
(225) 258-5901
Entity
Organization
Contact information
Practice address
21420 HIGHWAY 20, VACHERIE, LA 70090-3614
(225) 265-3013
Mailing address
1645 LUTCHER AVE APT SUITE, LUTCHER, LA 70071-5150
(225) 258-5901
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/17/2024
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