Healthcare Provider Details

I. General information

NPI: 1649260399
Provider Name (Legal Business Name): CHALMETTE MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W VIRTUE ST
CHALMETTE LA
70043-1253
US

IV. Provider business mailing address

801 W VIRTUE ST
CHALMETTE LA
70043-1253
US

V. Phone/Fax

Practice location:
  • Phone: 610-768-3413
  • Fax:
Mailing address:
  • Phone: 610-768-3413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number110-A
License Number StateLA

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO, SENIOR VP
Credential:
Phone: 610-768-3300