Provider Demographics
NPI:1558624486
Name:DEPARTMENT OF HEALTH AND HOSPITALS, OFFICE OF PUBLIC HEALTH
Entity Type:Organization
Organization Name:DEPARTMENT OF HEALTH AND HOSPITALS, OFFICE OF PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-275-5620
Mailing Address - Street 1:14931 WOODLORE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-1553
Mailing Address - Country:US
Mailing Address - Phone:225-954-2200
Mailing Address - Fax:
Practice Address - Street 1:7173A FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4549
Practice Address - Country:US
Practice Address - Phone:225-922-3218
Practice Address - Fax:225-925-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health