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NPI Code Detail

MEDICARE: UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION

MEDICARE: UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION
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
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
290005OTHERLABCBS ACTUE CARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568403111
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION
Provider Business Mailing Address
First Line : 2000 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-3018
Country : US
Telephone Number : 504-702-2081
Fax Number : 504-702-2118
Provider Business Practice Location Address
First Line : 2000 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-3018
Country : US
Telephone Number : 504-702-4434
Fax Number : 504-702-2118
Authorized Official
Title or Position : CEO
Name : MR. WILLIAM J MASTERTON
Credential :
Telephone Number : 504-702-2081
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/06/2016

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Directions to “UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION ” Practice Location

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