Healthcare Provider Details

I. General information

NPI: 1508954751
Provider Name (Legal Business Name): CHILDREN' S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HENRY CLAY AVE SUITE 2023
NEW ORLEANS LA
70118-5720
US

IV. Provider business mailing address

200 HENRY CLAY AVE SUITE 2023
NEW ORLEANS LA
70118-5720
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-9386
  • Fax: 504-896-3993
Mailing address:
  • Phone: 504-896-9386
  • Fax: 504-896-3993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number014356
License Number StateLA

VIII. Authorized Official

Name: DR. ROBERT LEE HOPKINS
Title or Position: MEDICAL DIRECTOR, RESPIRATORY CARE
Credential: M.D.
Phone: 504-896-9386