MEDICARE: ENTERPRISE HEALTH SYSTEMS

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1699796300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENTERPRISE HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	1821 WOODDALE CT STE 210
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1535
Country	:	US
Telephone Number	:	225-929-6570
Fax Number	:	225-929-6570

Provider Business Practice Location Address
First Line	:	1821 WOODDALE CT STE 210
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1535
Country	:	US
Telephone Number	:	225-929-6570
Fax Number	:	225-929-6570

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. AHAOMA BINIFACE OHIA
Credential	:
Telephone Number	:	225-929-6570

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	08/22/2020

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Directions to “ENTERPRISE HEALTH SYSTEMS ” Practice Location

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