NPIMap

Organization Active NPI

Youngsville Health, LLC

  • Emergency Medicine Physician
  • Youngsville, LA
National Provider Identifier
1083073837
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
YOUNGSVILLE HEALTH, LLC
Practice address
732 Young St
Youngsville, LA 70592-5501
Phone
(337) 205-7777
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Corbett J Lebouef III
Title
Manager
Phone
(337) 385-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

732 Young St
Youngsville, LA 70592-5501

Mailing address

732 Young St
Youngsville, LA 70592-5501
Phone (337) 205-7777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1083073837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 YOUNG ST",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925501",
            "telephone_number": "337-205-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 YOUNG ST",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925501",
            "telephone_number": "337-205-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSVILLE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "LEBOUEF",
        "authorized_official_first_name": "CORBETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-385-4143",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.