Organization
CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIO FRAGOUSO (CFO)
(504) 896-9461
Entity
Organization
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9511
(504) 896-9700
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9511
(504) 896-9700
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
256
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1734489
—
LA
Enumeration date
08/23/2005
Last updated
10/20/2021
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