Organization
NORTHSHORE REGIONAL MEDICAL CENTER, LLC
Active
Other names
NorthShore Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG C. ARMIN (VP OF GOVT PROGRAMS, TENET)
(310) 775-8043
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 649-7070
Mailing address
PO BOX 676955, DALLAS, TX 75267-6955
(214) 387-6444
(985) 646-5552
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
507
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00020057
—
MS
01
—
000451
HUMANA
—
05
—
00095306
—
MS
01
—
039807320
AETNA US HEALTHCARE (NATI
—
05
—
06302004
—
LA
05
—
1744611
—
LA
01
—
190204B000000
SECTION 1011
—
01
—
196084
COVENTRY HEALTH CARE LOUI
—
01
—
196086
COVENTRY HEALTH CARE LOUI
—
01
—
60773
BCBS OF LOUISIANA
—
Enumeration date
07/06/2006
Last updated
05/12/2016
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