Active NPI
St. Lukes Episcopal Hospital
- Critical Access Hospital
- Breaux Bridge, LA
National Provider Identifier
1598905465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- RN107735
- Legal business name
- ST. LUKES EPISCOPAL HOSPITAL
- Practice address
- 905 Poydras Hwy
Breaux Bridge, LA 70517-7512 - Phone
- (337) 224-1768
- NPI assigned
- Mar 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Reggie Michael Hollier, CRNA
- Title
- Crna
- Phone
- (337) 224-1768
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | RN107735 | LA | Primary |
Addresses
Primary practice location
905 Poydras Hwy
Breaux Bridge, LA 70517-7512
Mailing address
905 Poydras Hwy
Breaux Bridge, LA 70517-7512
Phone (337) 224-1768
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236124800000",
"number": "1598905465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 POYDRAS HWY",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705177512",
"telephone_number": "337-224-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 POYDRAS HWY",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705177512",
"telephone_number": "337-224-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKES EPISCOPAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A",
"authorized_official_last_name": "HOLLIER",
"authorized_official_first_name": "REGGIE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CRNA",
"authorized_official_telephone_number": "337-224-1768",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "LA",
"license": "RN107735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.