Provider Demographics
NPI:1164436333
Name:HOSPITAL SERVICE DISTRICT NO. 3
Entity Type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT NO. 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-493-4740
Mailing Address - Street 1:804 BAYOU LN
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4906
Mailing Address - Country:US
Mailing Address - Phone:985-447-8442
Mailing Address - Fax:985-447-8222
Practice Address - Street 1:804 BAYOU LN
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-4906
Practice Address - Country:US
Practice Address - Phone:985-447-8442
Practice Address - Fax:985-447-8222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA230251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1402095Medicaid
LA197187Medicare ID - Type Unspecified