Provider Demographics
NPI:1790094985
Name:HAMMOND SURGICAL HOSPITAL, LLC
Entity Type:Organization
Organization Name:HAMMOND SURGICAL HOSPITAL, LLC
Other - Org Name:CYPRESS POINTE SURGICAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:TREXLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-510-6200
Mailing Address - Street 1:42570 S. AIRPORT ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403
Mailing Address - Country:US
Mailing Address - Phone:985-510-6200
Mailing Address - Fax:985-510-6202
Practice Address - Street 1:42570 S. AIRPORT ROAD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403
Practice Address - Country:US
Practice Address - Phone:985-510-6200
Practice Address - Fax:985-510-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
284300000X
LA690284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital