1033348081 NPI number — ST HELENA COMMUNITY HEALTH CENTER, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033348081 NPI number — ST HELENA COMMUNITY HEALTH CENTER, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST HELENA COMMUNITY HEALTH CENTER, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SOUTHEAST COMMUNITY HEALTH SYSTEMS - SUBSTANCE ABUSE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033348081
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENSBURG
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70441-1207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-222-6059
Provider Business Mailing Address Fax Number:
225-222-6543

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
490 SITMAN ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-222-6059
Provider Business Practice Location Address Fax Number:
225-222-6543
Provider Enumeration Date:
07/13/2009

Additional Information

Authorized Official

Authorized Official Last Name:
SENEGAL
Authorized Official First Name:
SELINA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
225-225-6059

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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