Organization
OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC
Active
Other names
Ochsner LSU Health Shreveport - St. Mary Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MITZI GREEN (DIRECTOR)
(318) 626-0050
Entity
Organization
Contact information
Practice address
911 MARGARET PL, SHREVEPORT, LA 71101-4347
(318) 626-4300
(318) 399-7683
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
(318) 629-4833
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282NC2000X
Children's Hospital
—
—
282NW0100X
Women's Hospital
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
12/19/2022
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