Organization
ST CHARLES PARISH HOSPITAL
Active
Organization
ST CHARLES PARISH HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE HOMER (DIRECTOR OF BUSINESS SERVICES)
(985) 785-3645
Entity
Organization
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-6242
(985) 785-3623
Mailing address
PO BOX 87, LULING, LA 70070-0087
(985) 785-6242
(985) 785-3623
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
171
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464503
—
LA
Enumeration date
05/10/2007
Last updated
04/30/2013
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