Organization
HOSPITAL SERVICE DISTRICT NO. 2
Active
Other names
St. Martin Hospital Swingbed
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENA B. MOUISSET (CEO)
(337) 332-2178
Entity
Organization
Contact information
Practice address
210 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3700
(337) 332-2178
(337) 332-5092
Mailing address
210 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3700
(337) 332-2178
(337) 332-5092
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
240
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30374
BLUE CROSS-SWINGBED
LA
Enumeration date
02/06/2007
Last updated
08/18/2009
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