Provider Demographics
NPI:1558477042
Name:ST. BERNARD HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:ST. BERNARD HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-765-8812
Mailing Address - Street 1:P.O. BOX 1745
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70044
Mailing Address - Country:US
Mailing Address - Phone:504-281-2800
Mailing Address - Fax:504-278-4692
Practice Address - Street 1:7718 W. JUDGE PEREZ DR.
Practice Address - Street 2:
Practice Address - City:ARABI
Practice Address - State:LA
Practice Address - Zip Code:70032
Practice Address - Country:US
Practice Address - Phone:504-281-2800
Practice Address - Fax:504-278-4692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1512261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1456306Medicaid
LA1456306Medicaid