Organization Name: | ST CHARLES PARISH HOSPITAL |
NPI Number: | 1033323811 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIE HOMER (DIRECTOR OF BUSINESS SERVICES) |
Mailing Address: | 1057 Paul Maillard Rd Luling |
State: | LA US |
Postal Code: | 700704349 |
Phone Number: | 9857856242 |
Fax Number: | 9857853623 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 04/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |