Organization
HUEY P.LONG MDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBICHAUX (PHARMACY DIRECTOR)
(318) 483-7337
Entity
Organization
Contact information
Practice address
2351 VANDENBURG DR, ALEXANDRIA, LA 71303-5609
(318) 483-7337
Mailing address
2351 VANDENBURG DR, ALEXANDRIA, LA 71303-5609
(318) 483-7337
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
255
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720381
—
LA
01
—
1900009
MEDICARE ID- TYPE UNSPECIFIED
LA
Enumeration date
04/09/2014
Last updated
04/09/2014
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