Organization Active NPI

Hospital Service District No. 1 of Iberia Parish

  • General Acute Care Hospital
  • New Iberia, LA
National Provider Identifier
1780690180
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
115 Issued in LA
Legal business name
HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH
Practice address
2315 E Main St
New Iberia, LA 70560-4031
Phone
(337) 374-7104
Fax
(337) 374-7641
NPI assigned
Jul 31, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Dionne Viator
Title
Interim Ceo
Phone
(337) 374-7107

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 7

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

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 78

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Iberia Medical CenterNew Iberia, LA, CCN 19S054 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Iberia Medical CenterNew Iberia, LA, CCN 19T054 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Acadian Homecare of New Iberia LLCNew Iberia, LA, CCN 197718 Home health agency 5% Or Greater Direct Ownership Interest (25%) Jan 1, 2018
Jeanerette Rural Health ClinicJeanerette, LA, CCN 193404 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040621000102 LA Part B Supplier - Clinic/Group Practice 4688659188 Receives reassigned benefits from 52 practitioners
Practice locations: New Iberia, LA

National Provider Directory

National Provider Directory
Tax ID family
Saa (8 organizations share this tax ID)

Locations

500 N Lewis St
Ste 110
New Iberia, LA 70563
Phone (337) 365-7311

2205 Old Jeanerette Rd
New Iberia, LA 70563
Phone (337) 367-9411

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 115 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

2315 E Main St
New Iberia, LA 70560-4031

Mailing address

PO Box 13338
New Iberia, LA 70562-3338
Phone (337) 374-7104

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
11212OtherLABLUE CROSS
1796204MedicaidLA

Other names 1

NPPES NPI Registry
  • Iberia Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2019.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1780690180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13338",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705623338",
            "telephone_number": "337-374-7104",
            "fax_number": "337-374-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604031",
            "telephone_number": "337-374-7104",
            "fax_number": "337-374-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "VIATOR",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "337-374-7107",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11212",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796204",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iberia Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iberia Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.