Healthcare Provider Details

I. General information

NPI: 1538479936
Provider Name (Legal Business Name): ST. BERNARD HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 10/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7718 W JUDGE PEREZ DR
ARABI LA
70032-1919
US

IV. Provider business mailing address

PO BOX 1745
CHALMETTE LA
70044-1745
US

V. Phone/Fax

Practice location:
  • Phone: 504-281-2800
  • Fax: 504-278-4692
Mailing address:
  • Phone: 504-281-2800
  • Fax: 504-278-4692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number1512
License Number StateLA

VIII. Authorized Official

Name: MR. ROBERT DALE RAMSEY
Title or Position: PRESIDENT
Credential:
Phone: 225-923-2701