Healthcare Provider Details

I. General information

NPI: 1508097874
Provider Name (Legal Business Name): ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 S HARRISON ST
COVINGTON LA
70433-3661
US

IV. Provider business mailing address

PO BOX 669379
DALLAS TX
75266-9379
US

V. Phone/Fax

Practice location:
  • Phone: 985-871-4140
  • Fax: 985-871-4150
Mailing address:
  • Phone: 985-871-4140
  • Fax: 985-871-4150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JOAN COFFMAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 985-898-4000