Active NPI
Preeminent Healthcare Systems
- Community/Behavioral Health Agency
- Lafayette, LA
National Provider Identifier
1770537607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 9563
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626104 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Preeminent Healthcare Systems
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Duson, LA
- NPI 1891749834
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
- Precision Anesthesia of Lafayette LLC
- Precision Diagnostics LLC
- Precision Home Care LLC
- Precision Home Care LLC
- Precision Radiology Management of Louisiana LLC
- Preferred Anatomic Pathology Services, Inc.
- Preferred Anatomic Pathology Services, Inc.
- Preferred Pediatric Care
- Cynthia Jeannette Preis, APRN
- Aimee Prejean
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.