Healthcare Provider Details

I. General information

NPI: 1467499590
Provider Name (Legal Business Name): UNIVERSITY HEALTHCARE SYSTEM, L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 TULANE AVE
NEW ORLEANS LA
70112-2600
US

IV. Provider business mailing address

1415 TULANE AVE
NEW ORLEANS LA
70112-2600
US

V. Phone/Fax

Practice location:
  • Phone: 504-588-5263
  • Fax: 504-582-7973
Mailing address:
  • Phone: 504-588-5263
  • Fax: 504-582-7973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY H MCGAHA
Title or Position: CFO
Credential:
Phone: 504-988-6849