Healthcare Provider Details

I. General information

NPI: 1326432337
Provider Name (Legal Business Name): OCHSNER CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 03/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64629 HIGHWAY 41
PEARL RIVER LA
70452-3611
US

IV. Provider business mailing address

PO BOX 54987
NEW ORLEANS LA
70154-4987
US

V. Phone/Fax

Practice location:
  • Phone: 985-863-7100
  • Fax:
Mailing address:
  • Phone: 504-842-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE CARDWELL
Title or Position: AVP
Credential:
Phone: 504-842-7208