Healthcare Provider Details

I. General information

NPI: 1912943184
Provider Name (Legal Business Name): WOMAN'S HOSPITAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 12/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOMAN'S WAY
BATON ROUGE LA
70817-5100
US

IV. Provider business mailing address

100 WOMAN'S WAY
BATON ROUGE LA
70817-5100
US

V. Phone/Fax

Practice location:
  • Phone: 225-924-8104
  • Fax: 225-922-3737
Mailing address:
  • Phone: 225-927-1300
  • Fax: 225-922-3737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number258
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number2203781109
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number2203781109
License Number StateLA

VIII. Authorized Official

Name: TERI G. FONTENOT
Title or Position: CEO & PRESIDENT
Credential:
Phone: 225-924-8104