# ALPHA MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841791415
- **Authorized official:** MR. JOSHUA A LEBLANC (OWNER)
- **Authorized official phone:** (504) 512-1210

## Contact information

- **Practice address:** 3648 PONTCHARTRAIN DR STE 100, SLIDELL, LA 70458-4816
- **Practice address phone:** (985) 707-7747
- **Mailing address:** 67166 MONTAIGNE ST, MANDEVILLE, LA 70471-6923
- **Mailing address phone:** (504) 512-1210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 02/28/2018