Healthcare Provider Details

I. General information

NPI: 1356540108
Provider Name (Legal Business Name): OCHSNER CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 ORMOND BLVD STE J
DESTREHAN LA
70047-3811
US

IV. Provider business mailing address

PO BOX 54851
NEW ORLEANS LA
70154-4851
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-3000
  • Fax: 504-842-6901
Mailing address:
  • Phone: 504-842-3000
  • Fax: 504-842-6901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT J POSECAI
Title or Position: EVP- CHIEF FINANCIAL OFFICER
Credential:
Phone: 504-842-3000