Provider Demographics
NPI:1073849295
Name:HEALTH SERVICE
Entity type:Organization
Organization Name:HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CARE TECH
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIRNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-253-6506
Mailing Address - Street 1:1790 SATURN BLVD.
Mailing Address - Street 2:HEALTH SERVICES
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70129-2270
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1790 SATURN BLVD.
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70129-2270
Practice Address - Country:US
Practice Address - Phone:504-253-6532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center