Organization Active NPI

Medsouth. LLC

  • Community/Behavioral Health Agency
  • Alexandria, LA
National Provider Identifier
1790854404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MEDSOUTH. LLC
Practice address
3700 Bayou Rapides Rd
Alexandria, LA 71303-3601
Phone
(318) 473-0863
Fax
(318) 473-9889
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charley H Rougeau
Title
General Manager
Phone
(318) 473-0863

Specialties & licenses 1

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

Addresses

Primary practice location

3700 Bayou Rapides Rd
Alexandria, LA 71303-3601

Mailing address

3700 Bayou Rapides Rd
Alexandria, LA 71303-3601
Phone (318) 473-0863

National Provider Directory

National Provider Directory

Locations

3700 Bayou Rapides Rd
Alexandria, LA 71303
Phone (318) 473-0863

3612B Baker Blvd
Baker, LA 70714
Phone (225) 778-1100

1335B Wooddale Blvd
Baton Rouge, LA 70806
Phone (225) 328-4969

300 W Morris Ave
Hammond, LA 70403
Phone (318) 473-0863

2100 Oliver Rd
Monroe, LA 71201
Phone (318) 322-0301

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790854404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BAYOU RAPIDES RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033601",
            "telephone_number": "318-473-0863",
            "fax_number": "318-473-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BAYOU RAPIDES RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033601",
            "telephone_number": "318-473-0863",
            "fax_number": "318-473-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOUTH. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUGEAU",
        "authorized_official_first_name": "CHARLEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "318-473-0863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.