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NPI 1083903744

NPI 1083903744 : HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUIS : CHALMETTE, LA

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General NPI Number Information
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    NPI Number           |    1083903744
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUIS 
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Dates
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    Enumeration Date     |    04/04/2011
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    Last Update Date     |    05/23/2023
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Provider Practice Location Address
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    Address Line         |    8000 W JUDGE PEREZ DR 
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    City                 |    CHALMETTE
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    State                |    LA
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    Zip                  |    70043-1668
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    Country              |    US
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    Telephone            |    504-309-5601
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    Fax                  |    504-309-5603
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Provider Business Mailing Address
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    Address Line         |    8000 W JUDGE PEREZ DR 
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    City                 |    CHALMETTE
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    State                |    LA
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    Zip                  |    70043-1668
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    Country              |    US
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    Telephone            |    504-309-5601
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    Fax                  |    504-309-5603
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    MR. TIM  BURKE 
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    Credential           |    
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    Telephone            |    504-309-5601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282NR1301X
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    Taxonomy Name        |    Rural Acute Care Hospital
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    License Number       |    
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    License Number State |    
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