Organization
GENESIS SPECIALTY HOSPITALS II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
T G SMITH (C E O)
(318) 445-7344
Entity
Organization
Contact information
Practice address
301 N JEFFERSON DAVIS PKWY, 4 TH FLOOR, NEW ORLEANS, LA 70119-5311
(504) 486-5841
(504) 485-5875
Mailing address
3918 JACKSON STREET EXT, ALEXANDRIA, LA 71303-3007
(318) 445-7344
(318) 484-2865
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
503
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1762377
—
LA
01
—
282N00000X
TAXONOMY NUMBER
LA
01
—
503
LA HOSPITAL LICENSE NUMBE
LA
Enumeration date
07/19/2005
Last updated
08/22/2020
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