Provider Demographics
NPI:1255689600
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 1:3975 I 49 S SERVICE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-0775
Practice Address - Country:US
Practice Address - Phone:337-407-2795
Practice Address - Fax:337-407-2798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty