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NPI Code Detail

MEDICARE: SLIDELL MEMORIAL HOSPITAL

MEDICARE: SLIDELL MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital156LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114976263
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLIDELL MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 1001 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2939
Country : US
Telephone Number : 985-643-2200
Fax Number : 985-649-8626
Provider Business Practice Location Address
First Line : 1495 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2205
Country : US
Telephone Number : 985-405-5200
Fax Number : 985-405-5201
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : BILL DAVIS
Credential :
Telephone Number : 985-649-8504
Provider Enumeration Date : 05/08/2006
Last Update Date : 06/10/2008

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Directions to “SLIDELL MEMORIAL HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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