| Beacon Behavioral Hospital Northshore, Llc | |
|
64026 Highway 434 Ste 300 Lacombe LA 70445-5417 | |
| (985) 882-0226 | |
| (985) 882-9853 |
| Full Name | Beacon Behavioral Hospital Northshore, Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 64026 Highway 434 Ste 300, Lacombe, Louisiana |
| Authorized Official Name and Position | Phillip Sean Wendell (CEO) |
| Authorized Official Contact | 2258104040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Hospital Northshore, Llc 14707 Perkins Rd Baton Rouge LA 70810-2216 Ph: (225) 810-4040 | Beacon Behavioral Hospital Northshore, Llc 64026 Highway 434 Ste 300 Lacombe LA 70445-5417 Ph: (985) 882-0226 |
| NPI Number | 1508819202 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 5991024424 |
|---|---|
| Medicare Enrollment ID | O20150506000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508819202 | NPI | - | NPPES |
| 08036043 | Medicaid | MS | |
| 1709549 | Medicaid | LA |
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