Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Women |
282NW0100X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1285253252 |
| LBN Legal business name | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC |
| Authorized official | MITZI GREEN - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/10/2020 |
| Last updated | 12/19/2022 - About 3 years ago |
| Identifiers | n/a |
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