Healthcare Provider Details

I. General information

NPI: 1952608820
Provider Name (Legal Business Name): OCHSNER CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2011
Last Update Date: 02/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 JUDGE TANNER BLVD SUITE 301
COVINGTON LA
70433-7503
US

IV. Provider business mailing address

PO BOX 54851
NEW ORLEANS LA
70154-4851
US

V. Phone/Fax

Practice location:
  • Phone: 985-809-5850
  • Fax:
Mailing address:
  • Phone: 504-842-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT J POSECAI
Title or Position: CFO
Credential:
Phone: 504-842-4000