LOUISIANA STATE UNIVERSITY


Address: 5213 Citrus Blvd Apt S335, River Ridge, LA 70123-7229
Phone: 5043432858

LOUISIANA STATE UNIVERSITY (NPI# 1528395621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528395621
Entity Type Organization
Organization Name LOUISIANA STATE UNIVERSITY
Practice Address 5213 Citrus Blvd Apt S335
River Ridge
LA 70123-7229
Mailing Address 2020 Gravier St Fl 7
New Orleans
LA 70112-2272
Practice Telephone 5043432858
Practice Fax Number 5045682127
Mailing Telephone 5045685722
Mailing Fax Number 5045682127
Enumeration Date 2009-11-10
Last Update Date 2009-11-10
Authorized Official Name PROF. GARY R GLYNN (HEAD OF SECTION OF P.M.&R.)
Authorized Official Telephone 5045684624
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 273Y00000X Rehabilitation Unit 42398-66787 ZZ Hospital Units
N 282E00000X Long Term Care Hospital 42398-66787 ZZ Hospitals
N 283X00000X Rehabilitation Hospital 42398-66787 ZZ Hospitals
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
42398-66787 ZZ Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225512767 Louisiana State University Pharmacy 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 2018-09-20
1922566934 Louisiana State University Clinic/Center 6400 Perkins Rd, Baton Rouge, LA 70808-0102 2019-03-08
1326595968 Louisiana State University General Acute Care Hospital 2000 Canal Street, New Orleans, LA 70112-3018 2016-09-01

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LOUISIANA STATE UNIVERSITY 3810 W Lakeshore Dr Ste 111, Baton Rouge, LA 70808-4600
System for Award Management (SAM) Entities LOUISIANA STATE UNIVERSITY A&M 202 Himes Hall, Baton Rouge, LA 70803-0001
System for Award Management (SAM) Entities LOUISIANA STATE UNIVERSITY OF ALEXANDRIA 8100 Hwy 71 S, Alexandria, LA 71302-9119

Office Location

Street Address 5213 CITRUS BLVD APT S335
City RIVER RIDGE
State LA
Zip Code 70123-7229

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437780327 Cerner Health Connections, Inc Pharmacy The Laitram Pharmacy, 5307 Toler St, Harahan, LA 70123 2020-01-29
1184111270 Option Care Enterprises, Inc. Pharmacy 524 Elmwood Park Blvd Ste 120, Elmwood, LA 70123 2018-04-16
1740703214 Rebekah Murray Dykes Physician Assistant 9605 Jefferson Hwy Ste G, River Ridge, LA 70123 2017-07-17
1710420260 Cindy M Tregre Counselor 1529 River Oaks Rd W Ste 121, New Orleans, LA 70123 2016-11-30
1184098725 Tiffany Marie Banye Case Manager/Care Coordinator 5341 Citrus Blvd Apt L272, River Ridge, LA 70123 2015-11-19
1003290123 Phoebe Rae Plaisance Student in an Organized Health Care Education/Training Program 1336 Hickory Ave., Apt. C, Harahan, LA 70123 2015-07-18
1255711495 Chris Dysart Physical Therapist 1827 Hickory Ave Ste B, Harahan, LA 70123 2015-06-03
1184043275 Joanna Cross-call Buckingham Pediatrics 9605 Jefferson Highway, River Ridge, LA 70123 2014-04-16
1972927259 Cassandra Williams Chiropractor 844 S Clearview Pkwy Apt 209, River Ridge, LA 70123 2014-02-07
1770906182 Amber Bloom Chiropractor 9045 Jefferson Highway, River Ridge, LA 70123 2014-01-22
Find all providers in zip 70123

Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043791411 Domango Training Inc. Clinic/Center 523 River Oaks Dr, New Orleans, LA 70131-5207 2018-08-23
1184138695 Sage Rehabilitation Hospital Covington, LLC Clinic/Center 5025 Keystone Blvd Ste 200, Covington, LA 70433-7517 2017-11-20
1770039950 Northeast Louisiana Rehabilitation Clinic/Center 204 Boots Drive, Farmerville, LA 71241 2016-08-29
1417349929 Northeast Louisiana Rehabilitation Clinic/Center 204 Boots Dr, Farmerville, LA 71241-3102 2015-02-21
1720415094 Affiliated Rehab, LLC Clinic/Center 26635 La Highway 16, Denham Springs, LA 70726-5853 2013-10-02
1245678929 Best Rehabilitation Services, Inc. Clinic/Center 4521 North Blvd Ste A, Baton Rouge, LA 70806-4045 2013-06-04
1821394537 Healthlink Partners Clinic/Center 400 River Highlands Blvd, Suite 10, Covington, LA 70433-7011 2011-01-28
1144348723 The Therapy Group, LLC Clinic/Center 7843 Park Ave, Houma, LA 70364 2007-03-26
1477695252 Metropolitan Health Group, LLC Clinic/Center 2930 Canal St, Suite 401, New Orleans, LA 70119-6367 2007-02-12
1154469021 Arcadia Nursing and Rehabilitation Center, LLC Clinic/Center 660 Factory Outlet Mall Drive, Arcadia, LA 71001 2007-02-02
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Competitor

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City RIVER RIDGE
Zip Code 70123

Improve Information

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Dataset Information

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.

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