Organization
TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1
Active
Other names
Terrebone General Rehabilitation Unit
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
273Y00000X
Rehabilitation Hospital Unit
Primary
159
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13064
BLUE CROSS PROFESSIONAL
LA
05
—
1720275
—
LA
01
—
474543
AETNA
LA
01
—
5000076
UNITED HEALTHCARE
LA
01
—
61000
BLUE CROSS
LA
Enumeration date
04/27/2006
Last updated
05/12/2008
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