MEDICARE: PENDLETON METHODIST HOSPITAL, L.L.C.

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	282N00000X	General Acute Care Hospital	519	LA

General Provider Information

NPI Number	:	1457341109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENDLETON METHODIST HOSPITAL, L.L.C.

Provider Business Mailing Address
First Line	:	5620 READ BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-3106
Country	:	US
Telephone Number	:	610-768-3413
Fax Number	:

Provider Business Practice Location Address
First Line	:	5620 READ BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-3106
Country	:	US
Telephone Number	:	610-768-3413
Fax Number	:

Authorized Official
Title or Position	:	CFO, SENIOR VP
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-768-3300

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	08/22/2020

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