Healthcare Provider Details
I. General information
NPI: 1740439348
Provider Name (Legal Business Name): OCHSNER CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2008
Last Update Date: 07/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 CRESCENT AVE
LOCKPORT LA
70374-2927
US
IV. Provider business mailing address
PO BOX 54987
NEW ORLEANS LA
70154-4987
US
V. Phone/Fax
- Phone: 985-532-1620
- Fax:
- Phone: 504-842-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| 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