Healthcare Provider Details

I. General information

NPI: 1730136771
Provider Name (Legal Business Name): FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 TOWER DR STE 102
MONROE LA
71201-5783
US

IV. Provider business mailing address

2600 TOWER DR STE 102
MONROE LA
71201-5783
US

V. Phone/Fax

Practice location:
  • Phone: 318-327-6290
  • Fax:
Mailing address:
  • Phone: 318-327-4000
  • Fax: 318-327-7359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number157-E
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY.007563-IR
License Number StateLA

VIII. Authorized Official

Name: DR. JAMES CRAVEN
Title or Position: EVP, CHIEF PHYSICIAN OFFICER
Credential:
Phone: 225-765-8724