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	282N00000X	General Acute Care Hospital	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
2	20166	OTHER	MS	B-CROSS ACUTE CARE

General Provider Information

NPI Number	:	1588629968
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 SAINT LOUIS
State	:	MS
Zip	:	39520-1658
Country	:	US
Telephone Number	:	228-467-8787
Fax Number	:	228-467-8799

Provider Business Practice Location Address
First Line	:	149 DRINKWATER BLVD
Second Line	:
City	:	BAY SAINT LOUIS
State	:	MS
Zip	:	39520
Country	:	US
Telephone Number	:	228-467-8600
Fax Number	:	228-467-8799

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	ALAN HODGES
Credential	:
Telephone Number	:	228-467-8744

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	05/23/2023

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