Healthcare Provider Details

I. General information

NPI: 1568483550
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: 07/22/2006
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ASHLAND WAY STE 1
MADISONVILLE LA
70447-3357
US

IV. Provider business mailing address

101 ASHLAND WAY STE 1
MADISONVILLE LA
70447-3357
US

V. Phone/Fax

Practice location:
  • Phone: 985-898-4414
  • Fax: 985-898-4361
Mailing address:
  • Phone: 985-898-4414
  • Fax: 985-898-4361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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