Active NPI
Gulf Coast Medical Center
- Multi-Specialty Clinic/Center
- Terrytown, LA
National Provider Identifier
1063915866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- GULF COAST MEDICAL CENTER
- Practice address
- 51 Holmes Blvd Ste a
Terrytown, LA 70056-2592 - Phone
- (504) 263-5113
- NPI assigned
- Mar 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Russell
- Title
- President
- Phone
- (985) 502-6585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
51 Holmes Blvd Ste a
Terrytown, LA 70056-2592
Mailing address
51 Holmes Blvd Ste a
Terrytown, LA 70056-2592
National Provider Directory
National Provider DirectoryLocations
51 Holmes Blvd
Ste A
Terrytown, LA 70056
Phone (504) 263-5113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521331200000",
"number": "1063915866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 HOLMES BLVD STE A",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700562592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 HOLMES BLVD STE A",
"city": "TERRYTOWN",
"state": "LA",
"postal_code": "700562592",
"telephone_number": "504-263-5113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-18",
"last_updated": "2018-03-18",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "985-502-6585"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terrytown, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.