NPIMap

Organization Active NPI

Medical Center of Louisiana at New Orleans

Doing business as Interim LSU Public Hospital

  • Community Health Clinic/Center
  • New Orleans, LA
National Provider Identifier
1366721409
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
191 Issued in LA
Legal business name
MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS
Doing business as
Interim LSU Public Hospital
Practice address
2025 Gravier Street
New Orleans, LA 70112
Phone
(504) 903-2373
Fax
(504) 903-1163
NPI assigned
Aug 8, 2011
Last updated
Aug 8, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL CENTER OF LOUISIANA AT NEW ORLEANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Roxane A. Townsend, M.D.
Title
Interim Chief Financial Officer
Phone
(504) 903-4907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 191 LA Primary

Addresses

Primary practice location

2025 Gravier Street
New Orleans, LA 70112

Mailing address

2021 Perdido St
New Orleans, LA 70112-1352
Phone (504) 903-5153

Other identifiers 1

IdentifierTypeStateIssuer
1765651MedicaidLA

Other names 1

  • Interim LSU Public Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bertrand Carol a8 organizations share this tax ID, including this one
Part of
Bertrand Carol a

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1366721409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 PERDIDO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121352",
            "telephone_number": "504-903-5153",
            "fax_number": "504-680-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 GRAVIER STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-903-2373",
            "fax_number": "504-903-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "INTERIM CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "504-903-4907",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "LA",
            "license": "191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1765651",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim LSU Public Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.