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Organization
SLIDELL MEMORIAL HOSPITAL
Active
Organization
SLIDELL MEMORIAL HOSPITAL
Active
Other names
MD Imaging Slidell
Organization subpart
No
Provider details
NPI number
Authorized official
BILL DAVIS (CHIEF FINANCIAL OFFICER)
(985) 649-8504
Entity
Organization
Contact information
Practice address
1495 GAUSE BLVD, SLIDELL, LA 70458-2205
(985) 405-5200
(985) 405-5201
Mailing address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 643-2200
(985) 649-8626
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09077321
—
MS
05
—
1448516
—
LA
Enumeration date
05/08/2006
Last updated
06/10/2008
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