NPIMap

Organization Active NPI

Progressive Acute Care Dauterive, LLC

  • Psychiatric Hospital Unit
  • New Iberia, LA
National Provider Identifier
1962456947
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
PROGRESSIVE ACUTE CARE DAUTERIVE, LLC
Doing business as
DAUTERIVE HOSPITAL
Practice address
600 N Lewis St
New Iberia, LA 70563-2043
Phone
(337) 365-7311
Fax
(337) 374-4104
NPI assigned
May 22, 2006
Organization subpart
Yes
Parent organization
PROGRESSIVE ACUTE CARE DAUTERIVE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Wayne Thompson
Title
Cfo
Phone
(985) 624-7401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

600 N Lewis St
New Iberia, LA 70563-2043

Mailing address

600 N Lewis St
New Iberia, LA 70563-2043
Phone (337) 365-7311

Other identifiers 1

IdentifierTypeStateIssuer
1807974MedicaidLA

Other names 1

  • DAUTERIVE HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Part of
Progressive Acute Care Dauterive LLC

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1962456947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632043",
            "telephone_number": "337-365-7311",
            "fax_number": "337-374-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632043",
            "telephone_number": "337-365-7311",
            "fax_number": "337-374-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ACUTE CARE DAUTERIVE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE ACUTE CARE DAUTERIVE, LLC",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "985-624-7401"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1807974",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAUTERIVE HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.