Active NPI
Northshore Regional Medical Center, LLC
- General Acute Care Hospital
- Slidell, LA
National Provider Identifier
1841221017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 507
- Legal business name
- NORTHSHORE REGIONAL MEDICAL CENTER, LLC
- Doing business as
- NorthShore Regional Medical Center
- Practice address
- 100 Medical Center Dr
Slidell, LA 70461-5520 - Phone
- (985) 649-7070
- NPI assigned
- Jul 6, 2006
- 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
- Mr. Craig C. Armin
- Title
- VP of Govt Programs, Tenet
- Phone
- (310) 775-8043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 507 | LA | Primary |
Addresses
Primary practice location
100 Medical Center Dr
Slidell, LA 70461-5520
Mailing address
PO Box 676955
Dallas, TX 75267-6955
Phone (214) 387-6444
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000451 | Other | HUMANA | |
| 00020057 | Medicaid | MS | |
| 039807320 | Other | AETNA US HEALTHCARE (NATI | |
| 1744611 | Medicaid | LA | |
| 190204B000000 | Other | SECTION 1011 | |
| 60773 | Other | BCBS OF LOUISIANA | |
| 196086 | Other | COVENTRY HEALTH CARE LOUI | |
| 00095306 | Medicaid | MS | |
| 06302004 | Medicaid | LA | |
| 196084 | Other | COVENTRY HEALTH CARE LOUI |
Other names 1
- NorthShore Regional Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Northshore Regional Medical Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Slidell, LA
- NPI 1528069218
-
- Rehabilitation Hospital Unit
- Slidell, LA
- NPI 1275552747
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Rehabilitation Hospital Unit
- Slidell, LA
- NPI 1275552747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463011200000",
"number": "1841221017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 676955",
"city": "DALLAS",
"state": "TX",
"postal_code": "752676955",
"telephone_number": "214-387-6444",
"fax_number": "985-646-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615520",
"telephone_number": "985-649-7070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSHORE REGIONAL MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2016-05-12",
"status": "A",
"authorized_official_last_name": "ARMIN",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "VP OF GOVT PROGRAMS, TENET",
"authorized_official_telephone_number": "310-775-8043",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "LA",
"license": "507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000451",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00020057",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE (NATI",
"identifier": "039807320",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1744611",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECTION 1011",
"identifier": "190204B000000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF LOUISIANA",
"identifier": "60773",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE LOUI",
"identifier": "196086",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00095306",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06302004",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE LOUI",
"identifier": "196084",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NorthShore Regional Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.