Preeminent Healthcare Systems

Key facts

NPI: 1891749834
Entity type: Organization (NPI type 2)
Primary specialty: Community/Behavioral Health Agency 251S00000X
License: 9562 (LA)
Legal business name: PREEMINENT HEALTHCARE SYSTEMS
Practice address: 7515 Cameron St
Duson, LA 70529-3312
Phone: (337) 456-3392
Fax: (337) 456-3394
NPI assigned: May 22, 2006
Organization subpart: No

Authorized official

Name: Brandy Mallet
Title: Office Manager
Phone: (337) 783-5262

Corporate family (same tax ID) 1

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

Preeminent Healthcare Systems Community/Behavioral Health Agency · Lafayette, LA · NPI 1770537607

NPD tax ID

National Provider Directory

Tax ID family: Preeminent Healthcare Systems (2 organizations share this tax ID)

Locations

7515 Cameron St
Duson, LA 70529
Phone (337) 298-8230

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Behavioral Health Agency	251S00000X	9562	LA	Yes

Addresses

Primary practice location

7515 Cameron St
Duson, LA 70529-3312

Mailing address

325 N Avenue F
Crowley, LA 70526-5042
Phone (337) 783-5262

Other identifiers

Identifier	Type	State	Issuer
1120022	Medicaid	LA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 8, 2009.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1891749834",
    "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": "7515 CAMERON ST",
            "city": "DUSON",
            "state": "LA",
            "postal_code": "705293312",
            "telephone_number": "337-456-3392",
            "fax_number": "337-456-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREEMINENT HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-12-08",
        "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": "9562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120022",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duson, LA

All providers in Duson, LA · Community/Behavioral Health Agency in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.