MEDICARE: HEALTH SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center		LA

General Provider Information

NPI Number	:	1073849295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH SERVICE

Provider Business Mailing Address
First Line	:	1790 SATURN BLVD.
Second Line	:	HEALTH SERVICES
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2270
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1790 SATURN BLVD.
Second Line	:	HEALTH SERVICES
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2270
Country	:	US
Telephone Number	:	504-253-6532
Fax Number	:

Authorized Official
Title or Position	:	HEALTH CARE TECH
Name	:	MISS KATRINA CAIRNS
Credential	:
Telephone Number	:	504-253-6506

Provider Enumeration Date	:	10/22/2009
Last Update Date	:	10/22/2009

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Directions to “HEALTH SERVICE ” Practice Location

Language	Start Address	Practice Location

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