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Organization

ST TAMMANY COMMUNITY HEALTH CENTER

Active
Parent organization
ST CHARLES COMMUNITY HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST CHARLES COMMUNITY HEALTH CENTER
Authorized official
DR. MADHURI DIXIT MD (MD)
(985) 785-5852
Entity
Organization

Contact information

Practice address
1340 14TH ST, SLIDELL, LA 70458-2944
(985) 649-8775
(985) 649-8703
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5852
(985) 785-5811

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD10981R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1444642
LA
05
1452904
LA
05
1579483
LA
05
1925349
LA
05
1945421
LA
Enumeration date
09/27/2006
Last updated
08/20/2009
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