NPIMap

Organization Active NPI

Hospital Service District No. 1 of Iberia Parish

Doing business as Iberia Medical Center

  • 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
Doing business as
Iberia Medical Center
Practice address
2315 E Main St
New Iberia, LA 70560-4031
Phone
(337) 374-7104
Fax
(337) 374-7641
NPI assigned
Jul 31, 2006
Last updated
Oct 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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 names 1

  • Iberia Medical Center Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Iberia General Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1444 Peterman Dr
Alexandria, LA 71301
Phone (318) 442-5399

Ownership & related parties

All facility ownership & control disclosures 4

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

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "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": [],
    "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.