Organization
EAST JEFFERSON GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REVELS (DIRECTOR)
(504) 503-4804
Entity
Organization
Contact information
Practice address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 454-4855
(504) 454-4860
Mailing address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 503-4804
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PHY-.004214-HOS
LA
Other
Enumeration date
07/08/2011
Last updated
12/20/2017
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