Healthcare Provider Details

I. General information

NPI: 1033021027
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: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 HIGHWAY 1085
COVINGTON LA
70433-7227
US

IV. Provider business mailing address

PO BOX 669379
DALLAS TX
75266-9379
US

V. Phone/Fax

Practice location:
  • Phone: 985-612-7246
  • Fax: 985-626-9982
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SANDRA DIPIETRO
Title or Position: SENIOR VP/CFO
Credential:
Phone: 985-898-4000