MEDICARE: OCHSNER MEDICAL CENTER - HANCOCK LLC

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
1	261QR1300X	Rural Health Clinic/Center	11214	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1336346451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCHSNER MEDICAL CENTER - HANCOCK LLC

Provider Business Mailing Address
First Line	:	149 DRINKWATER RD
Second Line	:
City	:	BAY ST LOUIS
State	:	MS
Zip	:	39520-1658
Country	:	US
Telephone Number	:	228-467-8744
Fax Number	:	228-467-8799

Provider Business Practice Location Address
First Line	:	3068 PORT AND HARBOR DR
Second Line	:
City	:	BAY ST LOUIS
State	:	MS
Zip	:	39520
Country	:	US
Telephone Number	:	228-533-9000
Fax Number	:	228-467-8799

Authorized Official
Title or Position	:	CEO
Name	:	ALAN E. HODGES
Credential	:
Telephone Number	:	228-467-8744

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	05/31/2023

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Directions to “OCHSNER MEDICAL CENTER - HANCOCK LLC ” Practice Location

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