| Acadia-st. Landry Hospital Service District | |
|
810 S Broadway St Church Point LA 70525-4402 | |
| (337) 684-5435 | |
| (337) 684-1408 |
| Full Name | Acadia-st. Landry Hospital Service District |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 810 S Broadway St, Church Point, Louisiana |
| Authorized Official Name and Position | Michael J Lejeune (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 3376844277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acadia-st. Landry Hospital Service District 810 S Broadway St Church Point LA 70525-4402 Ph: (337) 684-5435 | Acadia-st. Landry Hospital Service District 810 S Broadway St Church Point LA 70525-4402 Ph: (337) 684-5435 |
| NPI Number | 1811917255 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 3476458092 |
|---|---|
| Medicare Enrollment ID | O20100604000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811917255 | NPI | - | NPPES |
| 61017 | Other | LA | PSYCH |
| 1705284 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 106 (Louisiana) | Primary |
Acadia-st. Landry Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 810 S Broadway St, Church Point, LA 70525 Phone: 337-684-5435 Fax: 337-684-1408 |