OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC (NPI# 1285253252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285253252 |
| Entity Type | Organization |
| Organization Name | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC |
| Other Organization Name | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER |
| Practice Address |
1 St. Mary Place Shreveport LA 71101-4307 |
| Mailing Address |
1541 Kings Hwy Ste A1-23 Shreveport LA 71103-4228 |
| Practice Telephone | 3186264300 |
| Practice Fax Number | 3183997683 |
| Mailing Telephone | 3186264300 |
| Mailing Fax Number | 3183997683 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | VERNON H. MOORE (CFO) |
| Authorized Official Telephone | 3186260990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC2000X |
General Acute Care Hospital Specialization: Children |
Hospitals | ||
| Y | 282NW0100X |
General Acute Care Hospital Specialization: Women |
Hospitals |
| Other Name | Type Code |
|---|---|
| Ochsner LSU Health Shreveport - St. Mary Medical Center | Doing Business As Name - Organization |
| Street Address |
1 ST. MARY PLACE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 282NW0100X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Women |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871043836 | Willis-knighton Medical System | General Acute Care Hospital | 8001 Youree Dr, 370, Shreveport, LA 71115-2302 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013361187 | Stiel Md LLC | General Acute Care Hospital | 4630 Ambassador Caffery Pkwy, Ste 412, Lafayette, LA 70508-6949 | 2016-04-14 |
| 1780938464 | Tulane-lakeside Hospital Pharmacy | General Acute Care Hospital | 4700 S I 10 Service Rd W, Metairie, LA 70001-1269 | 2012-11-02 |
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.