Healthcare Provider Details
I. General information
NPI: 1346970274
Provider Name (Legal Business Name): OCHSNER CLINIC FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2022
Last Update Date: 06/14/2022
Certification Date: 06/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1514 JEFFERSON HWY STE 1D604
NEW ORLEANS LA
70121-2429
US
IV. Provider business mailing address
1514 JEFFERSON HWY STE 1D606
NEW ORLEANS LA
70121-2429
US
V. Phone/Fax
- Phone: 504-754-6040
- Fax: 504-754-6041
- Phone: 504-754-6040
- Fax: 504-754-6041
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PETER
C.
NOVEMBER
Title or Position: EVP AND CFO
Credential:
Phone: 504-842-1335