Organization
NIGHTWATER MEDICAL CENTER LLC
Active
Parent organization
NIGHTWATER HEALTH, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIGHTWATER HEALTH, INC
Authorized official
PAUL IKEMIRE MD (MEMBER)
(504) 717-3050
Entity
Organization
Contact information
Practice address
719 OKEEFE AVE, NEW ORLEANS, LA 70113-1906
(504) 381-4204
(504) 617-6371
Mailing address
111 WATER ST STE 4, EXETER, NH 03833-2456
(603) 247-5442
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
10/20/2021
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