Provider Demographics
NPI: | 1215974340 |
---|---|
Name: | UNIVERSITY HEALTHCARE SYSTEM, L.C. |
Entity type: | Organization |
Organization Name: | UNIVERSITY HEALTHCARE SYSTEM, L.C. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CFO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ASHLEY |
Authorized Official - Middle Name: | H |
Authorized Official - Last Name: | MCGAHA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 504-988-6849 |
Mailing Address - Street 1: | 1415 TULANE AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW ORLEANS |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70112-2600 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 504-588-5263 |
Mailing Address - Fax: | 504-582-7973 |
Practice Address - Street 1: | 1415 TULANE AVE |
Practice Address - Street 2: | |
Practice Address - City: | NEW ORLEANS |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70112-2600 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-588-5263 |
Practice Address - Fax: | 504-582-7973 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-05-31 |
Last Update Date: | 2022-12-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 282N00000X | Hospitals | General Acute Care Hospital |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
LA | 61178 | Other | BCBS-TRANS |