Beacon Behavioral Hospital Northshore
Organization Active NPI Substance Use Disorder Rehabilitation Hospital Unit · Lacombe, LA
NPI 1083296156 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1083296156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit 276400000X
- Legal business name
- BEACON BEHAVIORAL HOSPITAL NORTHSHORE
- Practice address
- 64026 Highway 434 Ste 300
Lacombe, LA 70445-5417 - Phone
- (985) 882-0226
- Fax
- (985) 882-9853
- NPI assigned
- Apr 27, 2021
- Organization subpart
- No
Authorized official
- Name
- Phillip Sean Wendell
- Title
- Ceo
- Phone
- (225) 810-4040
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Beacon Behavioral Hospital Northshore LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Yes |
Addresses
Primary practice location
64026 Highway 434 Ste 300
Lacombe, LA 70445-5417
Mailing address
4601 Bluebonnet Blvd Ste B
Baton Rouge, LA 70809-9656
Phone (225) 810-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08036043 | Medicaid | MS | |
| 1709549 | Medicaid | LA |
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- Beacon Behavioral Hospital Northshore, LLC
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All providers in Lacombe, LA · Substance Use Disorder Rehabilitation Hospital Unit in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.