Healthcare Provider Details

I. General information

NPI: 1336346451
Provider Name (Legal Business Name): OCHSNER MEDICAL CENTER - HANCOCK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3068 PORT AND HARBOR DR
BAY ST LOUIS MS
39520
US

IV. Provider business mailing address

149 DRINKWATER RD
BAY ST LOUIS MS
39520-1658
US

V. Phone/Fax

Practice location:
  • Phone: 228-533-9000
  • Fax: 228-467-8799
Mailing address:
  • Phone: 228-467-8744
  • Fax: 228-467-8799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number11214
License Number StateMS

VIII. Authorized Official

Name: ALAN E. HODGES
Title or Position: CEO
Credential:
Phone: 228-467-8744