Organization
LMCHH PCP LLC
Active
Parent organization
LOUISIANA MEDICAL CENTER AND HEART HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA MEDICAL CENTER AND HEART HOSPITAL
Authorized official
GLENDA P DOBSON RN,BSN (VP, CLINICAL SERVICES)
(985) 690-7502
Entity
Organization
Contact information
Practice address
1520 GAUSE BLVD, SLIDELL, LA 70458-2208
(985) 649-7295
(985) 643-8510
Mailing address
64030 HIGHWAY 434, LACOMBE, LA 70445-3456
(985) 690-7526
(985) 690-7819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1043996
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305774
—
LA
Enumeration date
04/29/2013
Last updated
04/29/2013
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