Provider Demographics
NPI:1235752775
Name:KAPLAN GENERAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:KAPLAN GENERAL HOSPITAL, INC.
Other - Org Name:GARDINER CENTER HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM VP OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:V
Authorized Official - Last Name:TRAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-289-8292
Mailing Address - Street 1:920 W PINHOOK RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2455
Mailing Address - Country:US
Mailing Address - Phone:337-289-8292
Mailing Address - Fax:
Practice Address - Street 1:710 5TH ST
Practice Address - Street 2:
Practice Address - City:GUEYDAN
Practice Address - State:LA
Practice Address - Zip Code:70542-3612
Practice Address - Country:US
Practice Address - Phone:337-536-9262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAFAYETTE GENERAL HEALTH SYSTEM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-19
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health