Active NPI
Hospital Service District #3
Doing business as Thibodaux Regional Medical Center
- Psychiatric Hospital
- Thibodaux, LA
National Provider Identifier
1821202474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 148
- Legal business name
- HOSPITAL SERVICE DISTRICT #3
- Doing business as
- Thibodaux Regional Medical Center
- Practice address
- 602 N Acadia Rd
Thibodaux, LA 70301-4847 - Phone
- (985) 493-4437
- NPI assigned
- May 10, 2007
- Last updated
- May 1, 2008
- 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
- Victor Blanchard
- Title
- Director of Behavioral Health Servi
- Phone
- (985) 493-4437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 148 | LA | Primary |
Addresses
Primary practice location
602 N Acadia Rd
Thibodaux, LA 70301-4847
Mailing address
602 N Acadia Rd
Thibodaux, LA 70301-4847
Phone (985) 493-4437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60553 | Other | LA | BLUE CROSS BLUE SHIELD PS |
Other names 1
- Thibodaux Regional Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1821202474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N ACADIA RD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014847",
"telephone_number": "985-493-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N ACADIA RD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014847",
"telephone_number": "985-493-4437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL SERVICE DISTRICT #3",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "BLANCHARD",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH SERVI",
"authorized_official_telephone_number": "985-493-4437"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "LA",
"license": "148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PS",
"identifier": "60553",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thibodaux Regional Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thibodaux, LA
- Liz Boudreaux Hoffmann, RN, IBCLC
- Vera Holloway, LPC
- Ashley Holy
- Home-Care Pca, Inc. (A-Absolute Home-Care Pca, Inc.)
- Homecare Pca, LLC (A-Absolute Homecare Pca)
- Hospital Service District No. 3
- Hospital Service District No. 3 (Thibodaux Regional Medical Center)
- Hospital Service District No. 3 (Thibodaux Regional Medical Center)
- Hospital Service District No. 3 (Thibodaux Regional Medical Center)
- Christine Hotaling, MS
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.