Organization
SLIDELL MEMORIAL HOSPITAL
Active
Other names
MD Imaging Slidell
Organization subpart
No
Provider details
NPI number
Authorized official
BILL DAVIS (CHIEF FINANCIAL OFFICER)
(985) 649-8504
Entity
Organization
Contact information
Practice address
1495 GAUSE BLVD, SLIDELL, LA 70458-2205
(985) 405-5200
(985) 405-5201
Mailing address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 643-2200
(985) 649-8626
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09077321
—
MS
05
—
1448516
—
LA
Enumeration date
05/08/2006
Last updated
06/10/2008
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