Organization Name: | METHODIST HEALTH SYSTEM FOUNDATION, INC |
NPI Number: | 1093846354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRED C YOUNG (PRESIDENT) |
Mailing Address: | 1100 E Judge Perez Dr Chalmette |
State: | LA US |
Postal Code: | 700435405 |
Phone Number: | 9857269333 |
Fax Number: | 9857269996 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |