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NPI Code Detail

MEDICARE: CHRISTUS CABRINI SURGERY CENTER, LLC

MEDICARE: CHRISTUS CABRINI SURGERY CENTER, 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
1261QA1903XAmbulatory Surgical Clinic/Center152LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
220525OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1356490817
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTUS CABRINI SURGERY CENTER, LLC
Provider Business Mailing Address
First Line : 3436 MASONIC DRIVE
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3615
Country : US
Telephone Number : 318-427-6500
Fax Number : 318-427-6565
Provider Business Practice Location Address
First Line : 3436 MASONIC DRIVE
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3615
Country : US
Telephone Number : 318-427-6500
Fax Number : 318-427-6565
Authorized Official
Title or Position : OFFICER/AUTHORIZED OFFICIAL
Name : PETER BLACH
Credential :
Telephone Number : 713-343-0832
Provider Enumeration Date : 01/10/2007
Last Update Date : 10/04/2024

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Directions to “CHRISTUS CABRINI SURGERY CENTER, LLC ” Practice Location

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