Provider Demographics
NPI:1508135468
Name:PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS DIST A
Entity Type:Organization
Organization Name:PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS DIST A
Other - Org Name:EAST AFTER HOURS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CHAIRMAN HSD A
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:V
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-246-6000
Mailing Address - Street 1:PO BOX 872622
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70187-2622
Mailing Address - Country:US
Mailing Address - Phone:866-916-5259
Mailing Address - Fax:231-922-4030
Practice Address - Street 1:5640 READ BLVD STE 550
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-7812
Practice Address - Country:US
Practice Address - Phone:504-658-2750
Practice Address - Fax:504-658-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2176382Medicaid
LA5DW36Medicare PIN