Provider Demographics
NPI:1083062293
Name:OCHSNER CLINIC FOUNDATION
Entity Type:Organization
Organization Name:OCHSNER CLINIC FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GME DESIGNATED INSTITUTIONAL OFFL
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:AMEDEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-842-3260
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2429
Practice Address - Country:US
Practice Address - Phone:504-842-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCHSNER HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital