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NPI Code Detail

MEDICARE: ST. CHARLES SURGICAL HOSPITAL, LLC

MEDICARE: ST. CHARLES SURGICAL HOSPITAL, 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
1284300000XSpecial Hospital648LA

General Provider Information

NPI Number : 1639323595
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. CHARLES SURGICAL HOSPITAL, LLC
Provider Business Mailing Address
First Line : 1717 ST. CHARLES AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5223
Country : US
Telephone Number : 504-529-6600
Fax Number : 504-529-6672
Provider Business Practice Location Address
First Line : 1717 ST. CHARLES AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70130-5223
Country : US
Telephone Number : 504-529-6600
Fax Number : 504-529-6672
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. MYRA DIGANGE
Credential : R.N.
Telephone Number : 504-529-6600
Provider Enumeration Date : 11/05/2008
Last Update Date : 05/03/2010

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Directions to “ST. CHARLES SURGICAL HOSPITAL, LLC ” Practice Location

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