Provider Demographics
NPI:1720596539
Name:OCHSNER MISSISSIPPI, LLC
Entity Type:Organization
Organization Name:OCHSNER MISSISSIPPI, LLC
Other - Org Name:OCHSNER HEALTH CENTER - DIAMOND HEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JOINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-703-4127
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:4540 SHEPHERD SQ
Practice Address - Street 2:
Practice Address - City:DIAMONDHEAD
Practice Address - State:MS
Practice Address - Zip Code:39525-3325
Practice Address - Country:US
Practice Address - Phone:228-255-8216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCHSNER MISSISSIPPI, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-15
Last Update Date:2018-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty