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Organization

IBERIA GENERAL HOSPITAL AND MEDICAL CENTER

Active
Parent organization
IBERIA GENERAL HOSPITAL AND MEDICAL CENTER
Other names
Rheumatology Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
IBERIA GENERAL HOSPITAL AND MEDICAL CENTER
Authorized official
MR. JOHN A TUCKER FACHE (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(337) 374-7104
Entity
Organization

Contact information

Practice address
2312 E MAIN ST, SUITE C, NEW IBERIA, LA 70560-4064
(337) 560-1711
(337) 359-9102
Mailing address
PO BOX 11937, NEW IBERIA, LA 70562-1937
(337) 560-1711
(337) 359-9102

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
115
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC9420
RAILROAD MEDICARE
LA
01
H6310
BLUE CROSS
LA
Enumeration date
10/25/2006
Last updated
08/15/2008
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