PHC -Opelousas LP

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

417 Issued in LA

Legal business name

PHC -OPELOUSAS LP

Doing business as

Doctors Hospital of Opelousas

Practice address

3983 I-49 South Service Road
Opelousas, LA 70570

Phone

(337) 948-2107

Fax

(337) 948-2173

NPI assigned

Sep 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William M. Gracey

Title

Coo

Phone

(615) 372-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doctors Hospital of Opelousas Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1043318082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 POWELL CT",
            "address_2": "STE. 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275079",
            "telephone_number": "615-372-8500",
            "fax_number": "615-372-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 I-49 SOUTH SERVICE ROAD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-2107",
            "fax_number": "337-948-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC -OPELOUSAS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "GRACEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-372-8500"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "LA",
            "license": "417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766984",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Hospital of Opelousas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie McCauley Payne, LCSW
• David C Pearce, MD
• Philip E Pearce, M.S.
• Pelican Mobilization
• Javier Monique Pennywell, BACHELOR OF ARTS
• PHC-Opelousas LP
• PHC-Opelousas LP
• PHC-Opelousas LP
• PHC-Opelousas LP
• Philip a Landry MD a Professional Medical Corporation

• Rural Acute Care Hospital in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Rural Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.