Organization
ST MARTIN HOSPITAL, INC.
Active
Parent organization
ST MARTIN HOSPITAL, INC.
Other names
St. Martin Hospital Specialty Center, St Martin Hospital Wound Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST MARTIN HOSPITAL, INC.
Authorized official
SANDRA KELLER (VP COMPLIANCE)
(337) 289-8684
Entity
Organization
Contact information
Practice address
1555 GARY DR STE A, BREAUX BRIDGE, LA 70517-3448
(337) 909-2474
Mailing address
920 W PINHOOK RD, LAFAYETTE, LA 70503-2455
(337) 289-8684
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
672
LA
282NC0060X
Critical Access Hospital
672
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61561
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/31/2018
Last updated
01/22/2020
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