# OCHSNER MISSISSIPPI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OCHSNER MISSISSIPPI, LLC
- **Other names:** Ochsner Health Center - Downtown
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639766132
- **Legal business name:** OCHSNER MISSISSIPPI, LLC
- **Authorized official:** EDUARDO BENITEZ (DIRECTOR)
- **Authorized official phone:** (504) 430-0025

## Contact information

- **Practice address:** 4502 OLD PASS RD, GULFPORT, MS 39501-2585
- **Practice address phone:** (228) 863-9977
- **Practice address fax:** (228) 863-9912
- **Mailing address:** 1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
- **Mailing address phone:** (504) 842-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2020
- **Last updated:** 12/30/2020