Organization Active NPI

Preeminent Healthcare Systems

  • Community/Behavioral Health Agency
  • Lafayette, LA
National Provider Identifier
1770537607
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
9563 Issued in LA
Legal business name
PREEMINENT HEALTHCARE SYSTEMS
Practice address
1640 N Bertrand Dr
Lafayette, LA 70506-2130
Phone
(337) 593-0700
Fax
(337) 593-0799
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Brandy Mallet
Title
Office Manager
Phone
(337) 783-5262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 9563 LA Primary

Addresses

Primary practice location

1640 N Bertrand Dr
Lafayette, LA 70506-2130

Mailing address

325 N Avenue F
Crowley, LA 70526-5042
Phone (337) 783-5262

Other identifiers 1

IdentifierTypeStateIssuer
1626104MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Preeminent Healthcare Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

325 N Avenue F
Crowley, LA 70526
Phone (337) 783-5262

1640 N Bertrand Dr
Lafayette, LA 70506
Phone (337) 593-0700

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1770537607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N AVENUE F",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705265042",
            "telephone_number": "337-783-5262",
            "fax_number": "337-783-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N BERTRAND DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062130",
            "telephone_number": "337-593-0700",
            "fax_number": "337-593-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREEMINENT HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MALLET",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-783-5262"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "9563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626104",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 1, 2008; 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.