Provider Demographics
NPI:1689088122
Name:ACADIA GENERAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:ACADIA GENERAL HOSPITAL, INC.
Other - Org Name:ACADIA GENERAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALLECOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-289-7374
Mailing Address - Street 1:1305 CROWLEY RAYNE HWY
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-8202
Mailing Address - Country:US
Mailing Address - Phone:337-783-3222
Mailing Address - Fax:337-788-6413
Practice Address - Street 1:1305 CROWLEY RAYNE HWY
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-8202
Practice Address - Country:US
Practice Address - Phone:337-783-3222
Practice Address - Fax:337-788-6413
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAFAYETTE GENERAL HEALTH SYSTEM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty