Organization
THIBODAUX REGIONAL HEALTH SYSTEM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB A GIARDINA (CHAIRMAN)
(985) 447-5500
Entity
Organization
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 447-5500
(985) 446-5033
Mailing address
PO BOX 1118, THIBODAUX, LA 70302-1118
(985) 447-5500
(985) 446-5033
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60553
BLUE CROSS MEDICAL PSYCH UNIT
LA
Enumeration date
07/12/2019
Last updated
07/12/2019
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