Hospital Service District No. 2

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

240 Issued in LA

Legal business name

HOSPITAL SERVICE DISTRICT NO. 2

Practice address

210 Champagne Blvd
Breaux Bridge, LA 70517-3700

Phone

(337) 507-1201

Fax

(337) 332-5092

NPI assigned

Feb 20, 2008

Last updated

Aug 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rena B. Mouisset

Title

Chief Executive Officer

Phone

(337) 507-1201

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1275701518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHAMPAGNE BLVD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173700",
            "telephone_number": "337-332-2178",
            "fax_number": "337-332-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHAMPAGNE BLVD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173700",
            "telephone_number": "337-507-1201",
            "fax_number": "337-332-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT NO. 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "MOUISSET",
        "authorized_official_first_name": "RENA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "337-507-1201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-PHYSICIAN",
            "identifier": "43707",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799785",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Critical Access Hospital in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Critical Access Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.