Organization
LAIRD HOSPITAL, INC.
Active
Other names
Ochsner Health Center- Philadelphia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
1106 CENTRAL DR, PHILADELPHIA, MS 39350-8972
(601) 656-6921
(601) 656-0381
Mailing address
DEPT. 3023, PO BOX 1000, MEMPHIS, TN 38148-3023
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007723745
—
MS
Enumeration date
02/22/2013
Last updated
12/21/2022
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