Slidell Memorial Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

156 Issued in LA

Legal business name

SLIDELL MEMORIAL HOSPITAL

Practice address

1495 Gause Blvd
Slidell, LA 70458-2205

Phone

(985) 405-5200

Fax

(985) 405-5201

NPI assigned

May 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bill Davis

Title

Chief Financial Officer

Phone

(985) 649-8504

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MD Imaging Slidell Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1114976263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-643-2200",
            "fax_number": "985-649-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582205",
            "telephone_number": "985-405-5200",
            "fax_number": "985-405-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "985-649-8504"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09077321",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448516",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Imaging Slidell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Slidell Eye Specialists, Apmc
• Slidell Family Dental Care, LLC
• Slidell Family Medical and Wellness Care, LLC
• Slidell Family Medicine LLC
• Slidell Internal Medicine Clinic LLC
• Slidell Memorial Hospital
• Slidell Memorial Hospital
• Slidell Memorial Hospital
• Slidell Memorial Hospital
• Slidell Memorial Hospital

• All providers in Slidell, LA
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.