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Organization
MEADOWCREST HOSPITAL, LLC
Active
Organization
MEADOWCREST HOSPITAL, LLC
Active
Other names
Meadowcrest Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS E. RABE (VP OF TAXATION, TENET HEALTHCARE)
(469) 893-2530
Entity
Organization
Contact information
Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 392-3131
Mailing address
PO BOX 676948, DALLAS, TX 75267-6948
(214) 387-6444
(504) 391-5498
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
510
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020057
—
MS
01
—
000448
HUMANA
—
05
—
1741426
—
LA
05
—
1744611
—
LA
01
—
190152B000000
SECTION 1011
—
01
—
196092
COVENTRY HEALTH CARE LOUI
—
01
—
60622
BCBS OF LOUISIANA
—
Enumeration date
07/05/2006
Last updated
08/22/2020
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