1770098253 NPI number — BAPTIST COMMUNITY HEALTH SERVICES, 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 1770098253 NPI number — BAPTIST COMMUNITY HEALTH SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAPTIST COMMUNITY HEALTH SERVICES, 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:
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:
1770098253
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4960 SAINT CLAUDE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70117-4258
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-704-5949
Provider Business Mailing Address Fax Number:
504-704-5989

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4209 SAINT CLAUDE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70117-5338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-533-4999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BENANDI
Authorized Official First Name:
TINA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
SENIOR BILLING ASSOCIATE
Authorized Official Telephone Number:
504-704-5949

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)