St James Parish Hosp. Serv. Dist.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ST JAMES PARISH HOSP. SERV. DIST.

Doing business as

St. James West Bank Clinic

Practice address

21420 Highway 20
Vacherie, LA 70090-3614

Phone

(225) 265-3013

NPI assigned

Oct 14, 2024

Last updated

Oct 17, 2024By 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

Tracy George

Title

Cfo

Phone

(225) 258-5901

Specialties & licenses 1

Addresses

Other names 1

• St. James West Bank Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1558181735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 LUTCHER AVE APT SUITE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715150",
            "telephone_number": "225-258-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21420 HIGHWAY 20",
            "city": "VACHERIE",
            "state": "LA",
            "postal_code": "700903614",
            "telephone_number": "225-265-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES PARISH HOSP. SERV. DIST.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-258-5901"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. James West Bank Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. James West Bank Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roland S. Waguespack MD Apmc (St. Philip Clinic)
• Sarat K Donepudi MD Apmc
• St James Arc (Vacherie Day Development Training Center)
• St James Arc (Vacherie Day Developmental Training Center)
• St James Parish Hosp Serv Dist (SJPH Physician Clinics)
• St Joseph Medical Clinic a Medical Corporation
• St. James Arc
• James J Stafford, DDS
• Raja S Talluri, M.D.
• Teche Action Board, Inc. (Teche Health @ ST. James High School)

• Rural Health Clinic/Center in Vacherie, LA
• Providers in Vacherie, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.