Organization
LOUISIANA HEART HOSPITAL PROFFESION FEE, LLC
Active
Parent organization
LOUISIANA HEART HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA HEART HOSPITAL
Authorized official
MR. RICHARD PRIORE (INTERIM CEO)
(985) 690-7500
Entity
Organization
Contact information
Practice address
64030 LA HWY 434, LACOMBE, LA 70445
(985) 649-1152
(985) 649-1217
Mailing address
PO BOX 840596, DALLAS, TX 75284-0596
(985) 649-1152
(985) 649-1217
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
MEDICARE PIN IS PENDING
LA
Enumeration date
10/31/2007
Last updated
04/24/2008
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