Healthcare Provider Details
I. General information
NPI: 1679722284
Provider Name (Legal Business Name): OCHSNER CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2008
Last Update Date: 07/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22070 HIGHWAY 59 STE C
ABITA SPRINGS LA
70420-3602
US
IV. Provider business mailing address
PO BOX 54851
NEW ORLEANS LA
70154-4851
US
V. Phone/Fax
- Phone: 985-892-0879
- Fax:
- Phone: 504-842-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SCOTT
POSECAI
Title or Position: EVP- CHIEF FINANCIAL OFFICER
Credential:
Phone: 504-842-3000