Organization
CENLA CRITICAL CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G RAINEY MD (PRESIDENT)
(800) 655-2656
Entity
Organization
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6700
Mailing address
PO BOX 791322, BALTIMORE, MD 21279-1322
(800) 655-2656
(412) 822-7411
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1445550
—
LA
Enumeration date
05/05/2006
Last updated
08/22/2020
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