Provider Demographics
NPI:1386681542
Name:ADVANCE CARE HOSPITAL
Entity Type:Organization
Organization Name:ADVANCE CARE HOSPITAL
Other - Org Name:SOLARA HOSPITAL NEW ORLEANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-831-9670
Mailing Address - Street 1:7 VILLAGE CIR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WESTLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-5911
Mailing Address - Country:US
Mailing Address - Phone:682-831-9670
Mailing Address - Fax:682-831-9625
Practice Address - Street 1:1111 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE SOUTH 550
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3151
Practice Address - Country:US
Practice Address - Phone:504-349-2470
Practice Address - Fax:504-349-1287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA525284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA192007Medicare ID - Type Unspecified