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Organization
AMERIGROUP LOUISIANA, INC.
Active
Organization
AMERIGROUP LOUISIANA, INC.
Active
Other names
Amerigroup Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE STEPHEN BUCHER (CHIEF EXECUTIVE OFFICER)
(757) 962-6452
Entity
Organization
Contact information
Practice address
3850 N CAUSEWAY BLVD, SUITE 1160, METAIRIE, LA 70002-1752
(757) 962-6452
Mailing address
3850 N CAUSEWAY BLVD, SUITE 1160, METAIRIE, LA 70002-1752
(757) 962-6452
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
LA
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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