Healthcare Provider Details

I. General information

NPI: 1568403111
Provider Name (Legal Business Name): UNIVERSITY MEDICAL CENTER MANAGEMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CANAL ST
NEW ORLEANS LA
70112-3018
US

IV. Provider business mailing address

2000 CANAL ST
NEW ORLEANS LA
70112-3018
US

V. Phone/Fax

Practice location:
  • Phone: 504-702-4434
  • Fax: 504-702-2118
Mailing address:
  • Phone: 504-702-2081
  • Fax: 504-702-2118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM J MASTERTON
Title or Position: CEO
Credential:
Phone: 504-702-2081