Organization
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT #2
Active
Other names
ST ANNE GENERAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON D BOURGEOIS JR. (CEO/ADMINISTRATOR)
(985) 537-8377
Entity
Organization
Contact information
Practice address
4608 HIGHWAY 1, RACELAND, LA 70394-2623
(985) 537-6841
(985) 537-8273
Mailing address
4608 HIGHWAY 1, RACELAND, LA 70394-2623
(985) 537-6841
(985) 537-8273
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
225
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04759
BLUE CROSS ER PHY
LA
05
—
1734357
—
LA
05
—
1797430
—
LA
01
—
90109
BLUE CROSS
LA
01
—
G2660
BLUE CROSS CRNA
LA
Enumeration date
05/15/2006
Last updated
08/22/2020
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