UNIVERSITY MEDICAL CENTER (NPI# 1396764734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396764734 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY MEDICAL CENTER |
| Practice Address |
2390 W Congress St Lafayette LA 70506-4205 |
| Practice Telephone | 3372616000 |
| Practice Fax Number | 3372616003 |
| Mailing Telephone | 3372616000 |
| Mailing Fax Number | 3372616003 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD R SMITHBURG (VICE CHANCELLOR/CEO) |
| Authorized Official Telephone | 2259221474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BCBS CDU | 61037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487952438 | University Medical Center | General Acute Care Hospital | Department of Neurology 1501 North Campbell Ave, Tucson, AZ 85724-5023 | 2011-02-28 |
| 1396928925 | University Medical Center | General Acute Care Hospital | 3300 N Paseo De Los Rios, Apt 15202, Tucson, AZ 85712-6051 | 2007-12-05 |
| 1093296717 | University Medical Center | Pharmacy | 530 South Jackson Street, Louisville, KY 40202 | 2018-08-22 |
| 1205220977 | University Medical Center | General Acute Care Hospital | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2015-03-20 |
| 1194165589 | University Medical Center | Chronic Disease Hospital | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2013-06-28 |
| 1609155910 | University Medical Center | General Acute Care Hospital | 707 N Alvernon Way Ste 101, Tucson, AZ 85711-1830 | 2011-08-04 |
| 1356594253 | University Medical Center | General Acute Care Hospital | 1501 N Campbell Ave, Ct Surgery Office, Tucson, AZ 85724-0001 | 2008-10-23 |
| 1437314945 | University Medical Center | Special Hospital | 707 N Alvernon Way Ste 101, Tucson, AZ 85711-1830 | 2008-07-23 |
| 1699962449 | University Medical Center | General Acute Care Hospital | Department of Ob/gyn, 1501 North Campbell Avenue, Tucson, AZ 85724-0001 | 2007-09-25 |
| 1902002397 | University Medical Center | General Acute Care Hospital | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2007-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY MEDICAL CENTER | 2000 Canal St, New Orleans, LA 70112-3018 |
| System for Award Management (SAM) Entities | UNIVERSITY MEDICAL CENTER FOUNDATION OF EL PASO | 1400 Hardaway St, El Paso, TX 79903-3121 |
| System for Award Management (SAM) Entities | UNIVERSITY MEDICAL CENTER HOSPITAL | 1411 Baddour Pkwy, Lebanon, TN 37087-2513 |
| System for Award Management (SAM) Entities | UNIVERSITY MEDICAL CENTER OF EL PASO | 4815 Alameda Ave, El Paso, TX 79905-2705 |
| Street Address |
2390 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468353 | Tina Marie Boudreaux | Nurse Practitioner | 2390 W Congress St, Lafayette, LA 70506-4205 | 2005-06-26 |
| 1548869647 | Alex Marie Boudreaux | Audiologist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-10-20 |
| 1265042782 | University Hospital & Clinics, Inc. | Clinic/Center | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-08-10 |
| 1619599479 | Angela Leblanc | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-14 |
| 1366064388 | Suzette Bonneval | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-13 |
| 1134757032 | Jacob Michael Clement | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-28 |
| 1902433535 | De'angellica Vaughn-allen | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-24 |
| 1891322665 | Joseph Gohres Prechter Jr. | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-23 |
| 1861028904 | Christopher Chedid | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
| 1750917712 | Priscilla Tutu | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623315 | New Hope Addiction Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 215 Northpark Dr, Monroe, LA 71203-6520 | 2020-03-05 |
| 1952935942 | One22 Craft Advisors Corporation | Rehabilitation, Substance Use Disorder Unit | 626 E Jefferson Ave, Bastrop, LA 71220-4619 | 2020-02-27 |
| 1134638174 | Aimwell Center LLC | Rehabilitation, Substance Use Disorder Unit | 1106 Stubbs Ave Ste B, Monroe, LA 71201 | 2017-09-21 |
| 1528507068 | Genesis Life LLC | Rehabilitation, Substance Use Disorder Unit | 21089 South Frontage Road, Lacassine, LA 70650 | 2017-02-16 |
| 1093726978 | Stc Addiction Wellness Center, Inc. | Rehabilitation, Substance Use Disorder Unit | 150 Cora Dr, Baton Rouge, LA 70815-4201 | 2006-08-10 |
| 1548224330 | Dept. of Health & Hospitals | Rehabilitation, Substance Use Disorder Unit | Meadow Lane, C/o Central State Hospital, Unit 6, Pineville, LA 71360 | 2006-04-17 |
| 1326002155 | Depart. Health and Hospitals | Rehabilitation, Substance Use Disorder Unit | C/o Central State Hospital, Unit 6, Meadow Lane, Pineville, LA 71360 | 2006-04-17 |
| 1326037953 | Bayou Healthcare LLC | Rehabilitation, Substance Use Disorder Unit | 110 John Eskew Drive, Alexandria, LA 71303 | 2005-10-17 |
| 1013547504 | Beacon Behavioral Hospital-new Orleans Inc | Rehabilitation, Substance Use Disorder Unit | 14500 Hayne Blvd Ste 200, New Orleans, LA 70128-1751 | 2020-01-23 |
| 1619456233 | Choices Behavioral Specialty Hospital | Rehabilitation, Substance Use Disorder Unit | 3601 Coliseum St Fl 6, New Orleans, LA 70115-3606 | 2018-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.