Organization
NES LOUISIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT MORRA (PRESIDENT/CEO)
(800) 377-8721
Entity
Organization
Contact information
Practice address
433 PLAZA ST, BOGALUSA, LA 70427-3729
(985) 730-6700
Mailing address
PO BOX 65074, CHARLOTTE, NC 28265-0074
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440566
—
LA
01
—
G6438
GROUP BCBS #
LA
Enumeration date
11/15/2005
Last updated
08/22/2020
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