Provider Demographics
NPI:1760651541
Name:UNIVERSITY HEALTHCARE SYSTEM, L.C.
Entity Type:Organization
Organization Name:UNIVERSITY HEALTHCARE SYSTEM, L.C.
Other - Org Name:TULANE-LAKESIDE PSYCHIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCGAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-988-6849
Mailing Address - Street 1:4700 S I 10 SERVICE RD W
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1269
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4700 S I 10 SERVICE RD W
Practice Address - Street 2:4TH FLOOR
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1269
Practice Address - Country:US
Practice Address - Phone:504-780-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA377273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit