Organization Active NPI

Vermilion Hospital , Inc

Doing business as Vermilion Hospital for Psychiatric and Addictive Medicine

  • Psychiatric Hospital
  • Lafayette, LA
National Provider Identifier
1114983053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
471 Issued in LA
Legal business name
VERMILION HOSPITAL , INC
Doing business as
Vermilion Hospital for Psychiatric and Addictive Medicine
Practice address
2520 N University Ave
Lafayette, LA 70507-5306
Phone
(337) 234-5614
Fax
(337) 291-6055
NPI assigned
Apr 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Luis Betances
Title
Administrator
Phone
(337) 234-5614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 471 LA Primary

Addresses

Primary practice location

2520 N University Ave
Lafayette, LA 70507-5306

Mailing address

2520 N University Ave
Lafayette, LA 70507-5306
Phone (337) 234-5614

Other identifiers 3

IdentifierTypeStateIssuer
60495OtherIABC & BS CD
60496OtherIABC &BS PSYCH
1709981MedicaidIA

Other names 1

  • Vermilion Hospital for Psychiatric and Addictive Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114983053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 N UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705075306",
            "telephone_number": "337-234-5614",
            "fax_number": "337-291-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705075306",
            "telephone_number": "337-234-5614",
            "fax_number": "337-291-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMILION HOSPITAL , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETANCES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-234-5614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "LA",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS CD",
            "identifier": "60495",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC &BS PSYCH",
            "identifier": "60496",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709981",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermilion Hospital for Psychiatric and Addictive Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.