MEDICARE: OCHSNER CLINIC 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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1710120332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCHSNER CLINIC LLC

Provider Business Mailing Address
First Line	:	PO BOX 54851
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70154-4851
Country	:	US
Telephone Number	:	504-842-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	11424 SULLIVAN RD
Second Line	:	BLDG A, SUITE B1
City	:	BATON ROUGE
State	:	LA
Zip	:	70818-3615
Country	:	US
Telephone Number	:	225-761-5200
Fax Number	:

Authorized Official
Title or Position	:	EVP
Name	:	SCOTT POSECAIL
Credential	:
Telephone Number	:	504-842-3000

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	04/13/2009

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