| Northshore Internal Medicine Associates | |
|
2101 Robin Ave Suite 5 Hammond LA 70403-5772 | |
| (985) 318-1000 | |
| (985) 318-1001 |
| Full Name | Northshore Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 2101 Robin Ave, Hammond, Louisiana |
| Authorized Official Name and Position | Amy B Bodewaldt (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9853181000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Internal Medicine Associates 2101 Robin Ave Suite 5 Hammond LA 70403-5772 Ph: (985) 318-1000 | Northshore Internal Medicine Associates 2101 Robin Ave Suite 5 Hammond LA 70403-5772 Ph: (985) 318-1000 |
| NPI Number | 1992882237 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992882237 | NPI | - | NPPES |
| 1440621 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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