Healthcare Provider Details

I. General information

NPI: 1750761615
Provider Name (Legal Business Name): GLOBAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 06/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 OLD SPANISH TRL
SLIDELL LA
70458-3904
US

IV. Provider business mailing address

436 OLD SPANISH TRL
SLIDELL LA
70458-3904
US

V. Phone/Fax

Practice location:
  • Phone: 985-641-4898
  • Fax: 985-641-8060
Mailing address:
  • Phone: 985-641-4898
  • Fax: 985-641-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: GINGER J. GEIGER
Title or Position: OWNER
Credential: NP
Phone: 985-641-4898