| Genesis Behavioral Hospital Inc | |
|
606 Latiolais Rd Suite B Breaux Bridge LA 70517 | |
| (337) 237-4673 | |
| (337) 237-4674 |
| Full Name | Genesis Behavioral Hospital Inc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 606 Latiolais Rd, Breaux Bridge, Louisiana |
| Authorized Official Name and Position | William J Arledge (CFO) |
| Authorized Official Contact | 3372374673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Behavioral Hospital Inc 847 Stewart St Lafayette LA 70501-8539 Ph: (337) 237-4673 | Genesis Behavioral Hospital Inc 606 Latiolais Rd Suite B Breaux Bridge LA 70517 Ph: (337) 237-4673 |
| NPI Number | 1023119989 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4385642818 |
|---|---|
| Medicare Enrollment ID | O20061117000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023119989 | NPI | - | NPPES |
| 612 | Medicaid | LA |
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