Organization
LIFEMARK HOSPITALS OF LOUISIANA, INC.
Active
Other names
Kenner Regional 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
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 468-8600
Mailing address
PO BOX 676733, DALLAS, TX 75267-6733
(214) 387-6444
(504) 464-8062
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
300
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000449
HUMANA
—
05
—
1705551
—
LA
05
—
1744611
—
LA
05
—
1744701
—
LA
01
—
190206B000000
SECTION 1011
—
01
—
33721
BCBS OF LOUISIANA
—
01
—
60779
BCBS OF LOUISIANA
—
01
—
84889
COVENTRY HEALTH CARE LOUI
—
Enumeration date
07/05/2006
Last updated
08/22/2020
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