Organization
MEADOWCREST HOSPITAL, LLC
Active
Other names
Meadowcrest Hospital
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
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(504) 392-3131
Mailing address
PO BOX 676948, DALLAS, TX 75267-6948
(214) 387-6444
(504) 391-5498
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
510
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020057
—
MS
01
—
000448
HUMANA
—
05
—
1741426
—
LA
05
—
1744611
—
LA
01
—
190152B000000
SECTION 1011
—
01
—
196092
COVENTRY HEALTH CARE LOUI
—
01
—
60622
BCBS OF LOUISIANA
—
Enumeration date
07/05/2006
Last updated
08/22/2020
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