Provider Demographics
NPI:1346970274
Name:OCHSNER CLINIC FOUNDATION
Entity type:Organization
Organization Name:OCHSNER CLINIC FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:C
Authorized Official - Last Name:NOVEMBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-842-1335
Mailing Address - Street 1:1514 JEFFERSON HWY STE 1D606
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-754-6040
Mailing Address - Fax:504-754-6041
Practice Address - Street 1:1514 JEFFERSON HWY STE 1D604
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2429
Practice Address - Country:US
Practice Address - Phone:504-754-6040
Practice Address - Fax:504-754-6041
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCHSNER CLINIC FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAPHY-008444-CHOtherLABP( LOUISIANA BOARD OF PHARMACY)