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Organization

COVINGTON -AMG SPECIALTY HOSPITAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AUGUST RANTZ IV (PRESIDENT)
(337) 269-9566
Entity
Organization

Contact information

Practice address
195 HIGHLAND PARK ENTRANCE, COVINGTON, LA 70433-7164
(985) 867-3977
(985) 867-3979
Mailing address
101 LA RUE FRANCE STE 100, LAFAYETTE, LA 70508-3138
(337) 269-9566
(337) 234-1075

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
526
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1701963
LA
01
5CW01
MEDICARE PTN
LA
Enumeration date
08/12/2005
Last updated
11/09/2015
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