Provider Demographics
NPI:1518172030
Name:ST LANDRY PARISH POLICE JURY
Entity Type:Organization
Organization Name:ST LANDRY PARISH POLICE JURY
Other - Org Name:SUNSET COMMUNITY HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUCET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-662-5260
Mailing Address - Street 1:PO BOX 57
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:LA
Mailing Address - Zip Code:70584-0057
Mailing Address - Country:US
Mailing Address - Phone:337-662-5260
Mailing Address - Fax:337-662-5922
Practice Address - Street 1:178 SUNSET STRIP
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:LA
Practice Address - Zip Code:70584
Practice Address - Country:US
Practice Address - Phone:337-662-5260
Practice Address - Fax:337-662-5922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1417211Medicaid