Organization
HOSPITAL SERVICE DISTRICT #3
Active
Other names
Thibodaux Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR BLANCHARD (DIRECTOR OF BEHAVIORAL HEALTH SERVI)
(985) 493-4437
Entity
Organization
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(985) 493-4437
Mailing address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(985) 493-4437
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
148
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60553
BLUE CROSS BLUE SHIELD PS
LA
Enumeration date
05/10/2007
Last updated
05/01/2008
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