Provider Demographics
NPI:1568483550
Name:ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Entity Type:Organization
Organization Name:ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Other - Org Name:ST TAMMANY PARISH HOSPITAL HOME HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-898-4000
Mailing Address - Street 1:101 ASHLAND WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-3357
Mailing Address - Country:US
Mailing Address - Phone:985-898-4414
Mailing Address - Fax:985-898-4361
Practice Address - Street 1:101 ASHLAND WAY STE 1
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-3357
Practice Address - Country:US
Practice Address - Phone:985-898-4414
Practice Address - Fax:985-898-4361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA197168OtherWPS
LA197168OtherWPS
LA6290260OtherAETNA-HOME HEALTH
LA33670OtherBLUE CROSS BLUE SHIELD-HH