Healthcare Provider Details

I. General information

NPI: 1932204427
Provider Name (Legal Business Name): NMC OPERATING COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10105 PARK ROWE CIRCLE
BATON ROUGE LA
70810
US

IV. Provider business mailing address

10105 PARK ROWE CIRCLE
BATON ROUGE LA
70810
US

V. Phone/Fax

Practice location:
  • Phone: 225-906-4807
  • Fax: 225-906-4818
Mailing address:
  • Phone: 225-906-4807
  • Fax: 225-906-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number543
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: TERRI L HICKS
Title or Position: PRESIDENT & CEO
Credential:
Phone: 225-906-4805