Provider Demographics
NPI:1235469966
Name:HEALTH CARE BUSINESS CONSULTANT STRADEGY
Entity Type:Organization
Organization Name:HEALTH CARE BUSINESS CONSULTANT STRADEGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-938-0595
Mailing Address - Street 1:14416 ELMBRIDGE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70819
Mailing Address - Country:US
Mailing Address - Phone:225-938-0595
Mailing Address - Fax:
Practice Address - Street 1:14416 ELMBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70819-2013
Practice Address - Country:US
Practice Address - Phone:225-938-0595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2711511720OtherKIDMED SCREENING CLINIC (IN STATE ONLY)