1538427596 NPI number — LA BEST OPERATION

Table of content: (NPI 1538427596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538427596 NPI number — LA BEST OPERATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LA BEST OPERATION
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:
Provider Other Organization Name Type Code:
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:
1538427596
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3801 CANAL ST
Provider Second Line Business Mailing Address:
314
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70119-6082
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-483-7243
Provider Business Mailing Address Fax Number:
504-483-7264

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3801 CANAL ST
Provider Second Line Business Practice Location Address:
314
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70119-6082
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-483-7243
Provider Business Practice Location Address Fax Number:
504-483-7264
Provider Enumeration Date:
04/27/2012

Additional Information

Authorized Official

Authorized Official Last Name:
ARMSTRONG-BUTLER
Authorized Official First Name:
GILDA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF N.O. CHILD AND ADOLES
Authorized Official Telephone Number:
504-483-7240

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  14121 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 14121 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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