Organization
SEASIDE HEALTH SYSTEM, LLC
Active
Parent organization
SEASIDE HEALTH SYSTEMS, LLC
Other names
SHS Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEASIDE HEALTH SYSTEMS, LLC
Authorized official
CHRISTINA RYAN (BUSINESS OFFICE MANAGER)
(337) 345-5110
Entity
Organization
Contact information
Practice address
4363 CONVENTION STREET, BATON ROUGE, LA 70806
(225) 522-4076
(225) 448-2733
Mailing address
425 ASHLEY RIDGE BLVD, SHEREPORT, LA 71106
(318) 841-2619
(318) 841-2611
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2203781725
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2432559
—
LA
05
—
2700081
—
LA
Enumeration date
09/14/2015
Last updated
05/07/2024
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