| Interim Lsu Public Hospital | |
|
2025 Gravier Street New Orleans LA 70112 | |
| (504) 903-2373 | |
| (504) 903-1163 |
| Full Name | Interim Lsu Public Hospital |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2025 Gravier Street, New Orleans, Louisiana |
| Authorized Official Name and Position | Roxane A. Townsend (INTERIM CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5049034907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interim Lsu Public Hospital 2021 Perdido St New Orleans LA 70112-1352 Ph: (504) 903-5153 | Interim Lsu Public Hospital 2025 Gravier Street New Orleans LA 70112 Ph: (504) 903-2373 |
| NPI Number | 1366721409 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 08/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366721409 | NPI | - | NPPES |
| 1765651 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 191 (Louisiana) | Primary |
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