Provider Demographics
NPI:1619113875
Name:HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA
Entity Type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT #1 OF TANGIPAHOA
Other - Org Name:NORTH OAKS MEDICAL CENTER - PERINTOLOGIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER / SENIOR VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-230-6603
Mailing Address - Street 1:PO BOX 2668
Mailing Address - Street 2:FINANCE DEPARTMENT
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-2668
Mailing Address - Country:US
Mailing Address - Phone:985-230-6939
Mailing Address - Fax:985-230-6653
Practice Address - Street 1:15790 PAUL VEGA MD DR
Practice Address - Street 2:FINANCE DEPARTMENT
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1434
Practice Address - Country:US
Practice Address - Phone:985-230-6939
Practice Address - Fax:985-230-6653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA203282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1795879Medicaid
H9909OtherBCBS LA
LA57263Medicare PIN