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Organization

AMERIGROUP LOUISIANA, INC.

Active
Other names
Amerigroup Community Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE STEPHEN BUCHER (CHIEF EXECUTIVE OFFICER)
(757) 962-6452
Entity
Organization

Contact information

Practice address
3850 N CAUSEWAY BLVD, SUITE 1160, METAIRIE, LA 70002-1752
(757) 962-6452
Mailing address
3850 N CAUSEWAY BLVD, SUITE 1160, METAIRIE, LA 70002-1752
(757) 962-6452

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2162519
LA
Enumeration date
10/31/2011
Last updated
10/31/2011
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