NPIMap

Organization Active NPI

Slidell Memorial Hospital

  • Clinic/Center
  • Slidell, LA
National Provider Identifier
1801020433
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SLIDELL MEMORIAL HOSPITAL
Practice address
1001 Gause Blvd # 75
Slidell, LA 70458
Phone
(985) 280-3609
Fax
(985) 280-9651
NPI assigned
May 11, 2009
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Sandra T Badinger
Title
Ceo
Phone
(985) 280-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1001 Gause Blvd # 75
Slidell, LA 70458

Mailing address

1001 Gause Blvd
Box 75
Slidell, LA 70458-2939
Phone (985) 280-3609

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090812000505 LA Part B Supplier - Clinic/Group Practice 4284788134 Receives reassigned benefits from 44 practitioners
Practice locations: Slidell, LA
O20151229001339 MS Part B Supplier - Clinic/Group Practice 4284788134 Receives reassigned benefits from 3 practitioners
Practice locations: Picayune, MS

National Provider Directory

National Provider Directory

Member of 1

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

Locations

64724 Highway 41
Ste E
Pearl River, LA 70452
Phone (985) 280-7100

1001 Gause Blvd
#75
Slidell, LA 70458
Phone (985) 280-3609

1051 Gause Blvd
Ste 360
Slidell, LA 70458
Phone (504) 649-8775

1051 Gause Blvd
Ste 370
Slidell, LA 70458
Phone (985) 726-0026

1120 Robert Blvd
Ste 312
Slidell, LA 70458
Phone (985) 280-6670

1150 Robert Blvd
Ste 100
Slidell, LA 70458
Phone (985) 646-1122

1150 Robert Blvd
Ste 190
Slidell, LA 70458
Phone (985) 646-4415

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1801020433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "address_2": "BOX 75",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-280-3609",
            "fax_number": "985-280-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD # 75",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-280-3609",
            "fax_number": "985-280-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "BADINGER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-280-8503"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD e MDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.