Provider Demographics
NPI:1275700189
Name:UNITED MEDICAL HEALTHWEST NEW ORLEANS LLC
Entity Type:Organization
Organization Name:UNITED MEDICAL HEALTHWEST NEW ORLEANS LLC
Other - Org Name:UNITED MEDICAL HEALTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-433-5551
Mailing Address - Street 1:3201 B WALL BLVD
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7755
Mailing Address - Country:US
Mailing Address - Phone:504-433-5551
Mailing Address - Fax:504-433-5535
Practice Address - Street 1:3201 B WALL BLVD
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7755
Practice Address - Country:US
Practice Address - Phone:504-433-5551
Practice Address - Fax:504-433-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA622283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1700223Medicaid
LA193074OtherMEDICARE ID-TYPE UNSPECIFIED IRF
LA1700223Medicaid