Provider Demographics
NPI:1588817878
Name:TOURO INFIRMARY
Entity Type:Organization
Organization Name:TOURO INFIRMARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER VP
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FICKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-897-8568
Mailing Address - Street 1:1401 FOUCHER ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3515
Mailing Address - Country:US
Mailing Address - Phone:504-897-8568
Mailing Address - Fax:504-897-7008
Practice Address - Street 1:1401 FOUCHER ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3515
Practice Address - Country:US
Practice Address - Phone:504-897-8568
Practice Address - Fax:504-897-7008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOURO INFIRMARY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-30
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA19T046Medicare Oscar/Certification