Provider Demographics
NPI:1295036770
Name:CRESCENT CITY SURGICAL CENTRE OPERATING COMPANY, L.L.C.
Entity Type:Organization
Organization Name:CRESCENT CITY SURGICAL CENTRE OPERATING COMPANY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-830-2500
Mailing Address - Street 1:3017 GALLERIA DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-2009
Mailing Address - Country:US
Mailing Address - Phone:504-830-2500
Mailing Address - Fax:504-830-2425
Practice Address - Street 1:3017 GALLERIA DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2009
Practice Address - Country:US
Practice Address - Phone:504-830-2500
Practice Address - Fax:504-830-2425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital