Provider Demographics
NPI:1275794679
Name:OPELOUSAS GENERAL HEALTH SYSTEM
Entity Type:Organization
Organization Name:OPELOUSAS GENERAL HEALTH SYSTEM
Other - Org Name:PHYSICIAN PRACTICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
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:CFO
Authorized Official - Phone:337-942-7192
Mailing Address - Street 1:703 E PRUDHOMME ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6494
Mailing Address - Country:US
Mailing Address - Phone:337-942-7192
Mailing Address - Fax:337-942-5940
Practice Address - Street 1:703 E PRUDHOMME ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6494
Practice Address - Country:US
Practice Address - Phone:337-942-7192
Practice Address - Fax:337-942-5940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty