Provider Demographics
NPI:1003164054
Name:OPELOUSAS GENERAL HEALTH SYSTEM PHYSICIAN PRACTICES
Entity Type:Organization
Organization Name:OPELOUSAS GENERAL HEALTH SYSTEM PHYSICIAN PRACTICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:JUNEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-948-5113
Mailing Address - Street 1:PO BOX 1389
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70571-1389
Mailing Address - Country:US
Mailing Address - Phone:337-948-5113
Mailing Address - Fax:337-948-5126
Practice Address - Street 1:827 N UNION ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6313
Practice Address - Country:US
Practice Address - Phone:337-948-1802
Practice Address - Fax:337-942-9074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-23
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty