Provider Demographics
NPI:1043595804
Name:SURGICAL HOSPITAL MANAGEMENT SYSTEM LLC
Entity Type:Organization
Organization Name:SURGICAL HOSPITAL MANAGEMENT SYSTEM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:GACHASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-233-9900
Mailing Address - Street 1:1000 PINHOOK ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2460
Mailing Address - Country:US
Mailing Address - Phone:337-233-9900
Mailing Address - Fax:337-233-0770
Practice Address - Street 1:1000 PINHOOK ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2460
Practice Address - Country:US
Practice Address - Phone:337-233-9900
Practice Address - Fax:337-233-0770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-12
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty