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Contact Information

PONTCHARTRAIN CANCER CENTER
120 LAKEVIEW CIR
COVINGTON, LA70433-7512
 Phone: 985-875-1202
 Fax: 985-875-1205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PONTCHARTRAIN CANCER CENTER

NPI # 1710286794
LBN Legal business name PONTCHARTRAIN CANCER CENTER
Authorized official DAVID OUBRE - (M.D.,/ OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2011
Last updated 01/05/2026 - About 5 months ago
Identifiers
LA License # 203749
LA License # 22330
LA License # RN083847-AP04197
LA Medicaid 1478377
LA Medicaid 1665878
LA Medicaid 1883883
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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