Provider Demographics
NPI:1285456442
Name:DOCTORS' HOSPITAL OF SLIDELL, LLC
Entity type:Organization
Organization Name:DOCTORS' HOSPITAL OF SLIDELL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OR REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUILLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-690-8221
Mailing Address - Street 1:989 ROBERT BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2009
Mailing Address - Country:US
Mailing Address - Phone:985-690-8200
Mailing Address - Fax:
Practice Address - Street 1:989 ROBERT BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2009
Practice Address - Country:US
Practice Address - Phone:985-690-8200
Practice Address - Fax:985-445-1031
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STERLING SURGICAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory