Organization
SOUTHERN REGIONAL MEDICAL CORPORATION
Active
Other names
Leonard J Chabert Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS PEOPLES (EXECUTIVE CEO)
(985) 873-4664
Entity
Organization
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-1887
(985) 873-5192
Mailing address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-1887
(985) 873-5192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY.006726-IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141059
PK
—
Enumeration date
01/24/2007
Last updated
06/18/2015
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