MEDICARE: LOUISIANA HEALTHCARE CONNECTIONS INC.

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	302R00000X	Health Maintenance Organization		LA

General Provider Information

NPI Number	:	1801101514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUISIANA HEALTHCARE CONNECTIONS INC.

Provider Business Mailing Address
First Line	:	4550 NORTH BLVD
Second Line	:	SUITE 120
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 NORTH BLVD
Second Line	:	SUITE 120
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-4013
Country	:	US
Telephone Number	:	866-595-8133
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT CORP. DEV.
Name	:	JESSE HUNTER
Credential	:
Telephone Number	:	314-725-4477

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	08/19/2010

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