Provider Demographics
NPI:1124018874
Name:CHALMETTE MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:CHALMETTE MEDICAL CENTER, INC.
Other - Org Name:CHALMETTE MEDICAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, SENIOR VP
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3000
Mailing Address - Street 1:9001 PATRICIA ST
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-1769
Mailing Address - Country:US
Mailing Address - Phone:610-768-3413
Mailing Address - Fax:
Practice Address - Street 1:9001 PATRICIA ST
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-1769
Practice Address - Country:US
Practice Address - Phone:610-768-3413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA110282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1743275Medicaid
LA1705209Medicaid
LA1743275Medicaid
LA1705209Medicaid