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NPI Code Detail

MEDICARE: OPH LSU HEALTH SCIENCES REGION 6

MEDICARE: OPH LSU HEALTH SCIENCES REGION 6
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
1251B00000XCase Management AgencyCM 1717LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912067232
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPH LSU HEALTH SCIENCES REGION 6
Provider Business Mailing Address
First Line : 2351 VANDENBURG DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-5609
Country : US
Telephone Number : 318-483-7181
Fax Number : 318-483-7179
Provider Business Practice Location Address
First Line : 2351 VANDENBURG DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-5609
Country : US
Telephone Number : 318-483-7181
Fax Number : 318-483-7179
Authorized Official
Title or Position : NFP SUPERVISOR
Name : CINDY HILGER
Credential : BSN, RN
Telephone Number : 318-483-7181
Provider Enumeration Date : 12/08/2006
Last Update Date : 08/22/2020

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Practice Location Address:
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1760483069 — WILLIAM C. HONEYCUTT RPH
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1831190131 — MRS. CONNIE MARIE PETERSON RPH
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1750412003 — MRS. NORMA S. PORTER A.P.R.N.
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Directions to “OPH LSU HEALTH SCIENCES REGION 6 ” Practice Location

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