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Organization

TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1

Active
Other names
Terrebonne General Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. FRANCES D YEATES CPA MBA (EXECUTIVE VICE PRESIDENT)
(985) 873-4664
Entity
Organization

Contact information

Practice address
8166 MAIN STREET, HOUMA, LA 70360
(985) 873-4141
(985) 851-4307
Mailing address
PO BOX 6037, HOUMA, LA 70361-6037
(985) 873-4235
(985) 851-4307

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207R00000X
Internal Medicine Physician
207ZP0101X
Anatomic Pathology Physician
208000000X
Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician
2084N0400X
Neurology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13064
BLUE CROSS BLUE SHIELD
LA
05
1795887
LA
05
1943843
LA
01
5D037
MEDICARE PROF
Enumeration date
05/03/2006
Last updated
04/23/2008
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