Provider Demographics
NPI:1457320343
Name:P P S I OF VILLE PLATTE INC
Entity Type:Organization
Organization Name:P P S I OF VILLE PLATTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:SOILEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-363-2183
Mailing Address - Street 1:409A E LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-3431
Mailing Address - Country:US
Mailing Address - Phone:337-363-2183
Mailing Address - Fax:337-363-2187
Practice Address - Street 1:409A E LINCOLN RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-3431
Practice Address - Country:US
Practice Address - Phone:337-363-2183
Practice Address - Fax:337-363-2187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2536-IR332B00000X, 332BP3500X, 3336C0003X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1925203OtherNABP NUMBER
LA1274372Medicaid
LA53031OtherBCBS PROVIDER NUMBER
LA1274372Medicaid