MEDICARE: ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1

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	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144244831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1

Provider Business Mailing Address
First Line	:	101 ASHLAND WAY STE 2
Second Line	:
City	:	MADISONVILLE
State	:	LA
Zip	:	70447-3357
Country	:	US
Telephone Number	:	985-871-5976
Fax Number	:	985-871-5977

Provider Business Practice Location Address
First Line	:	101 ASHLAND WAY STE 2
Second Line	:
City	:	MADISONVILLE
State	:	LA
Zip	:	70447-3357
Country	:	US
Telephone Number	:	985-871-5976
Fax Number	:	985-898-5977

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	JOAN COFFMAN
Credential	:
Telephone Number	:	985-898-4000

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	03/28/2024

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