Organization
CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION
Active
Parent organization
CHILDREN'S HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL
Authorized official
MR. MATT GRONINGER (EXECUTIVE DIRECTOR)
(504) 894-6771
Entity
Organization
Contact information
Practice address
298 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9827
(504) 894-5370
Mailing address
298 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9827
(504) 894-5370
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
256
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1946711
—
LA
Enumeration date
10/18/2010
Last updated
05/10/2018
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