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Organization
TENET HEALTHSYSTEM MEMORIAL MEDICAL CENTER, INC.
Active
Organization
TENET HEALTHSYSTEM MEMORIAL MEDICAL CENTER, INC.
Active
Other names
Memorial Medical Center
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
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 899-9311
Mailing address
PO BOX 676741, DALLAS, TX 75267-6741
(214) 387-6444
(504) 897-4593
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
347
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020057
—
MS
05
—
00022050
—
MS
01
—
000447
HUMANA
—
05
—
1744611
—
LA
05
—
1764248
—
LA
01
—
190135B000000
SECTION 1011
—
01
—
5516
COVENTRY HEALTH CARE LOUI
—
01
—
61192
BCBS OF LOUISIANA
—
Enumeration date
07/05/2006
Last updated
08/22/2020
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