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Organization

OCHSNER CLINIC LLC

Active
Parent organization
OCHSNER CLINIC LLC
Other names
Ochsner Slidell Medvantage Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
OCHSNER CLINIC LLC
Authorized official
EDUARDO BENITEZ (DIRECTOR)
(504) 842-6933
Entity
Organization

Contact information

Practice address
1051 GAUSE BLVD, SLIDELL, LA 70458-2951
(985) 646-5970
(985) 646-5971
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1798118
LA
Enumeration date
08/02/2019
Last updated
03/23/2021
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