# OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ochsner LSU Health Shreveport - St. Mary Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285253252
- **Authorized official:** MITZI GREEN (DIRECTOR)
- **Authorized official phone:** (318) 626-0050

## Contact information

- **Practice address:** 911 MARGARET PL, SHREVEPORT, LA 71101-4347
- **Practice address phone:** (318) 626-4300
- **Practice address fax:** (318) 399-7683
- **Mailing address:** 1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
- **Mailing address phone:** (318) 626-0287
- **Mailing address fax:** (318) 629-4833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 282NC2000X | Children's Hospital | — | NULL | — |
| 282NW0100X | Women's Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2020
- **Last updated:** 12/19/2022