Provider Demographics
NPI:1790722825
Name:UNIVERSITY HEALTHCARE SYSTEM, L.C.
Entity Type:Organization
Organization Name:UNIVERSITY HEALTHCARE SYSTEM, L.C.
Other - Org Name:LAKEVIEW REGIONAL BEHAVIORAL HEALTH
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 1:5025 KEYSTONE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7517
Mailing Address - Country:US
Mailing Address - Phone:985-867-3930
Mailing Address - Fax:985-867-4449
Practice Address - Street 1:5025 KEYSTONE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7517
Practice Address - Country:US
Practice Address - Phone:985-867-3930
Practice Address - Fax:985-867-4449
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY HEALTHCARE SYSTEM, L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-31
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
19S176Medicare Oscar/Certification