Provider Demographics
NPI:1942256383
Name:UNIVERSITY HEALTHCARE SYSTEM, LC
Entity Type:Organization
Organization Name:UNIVERSITY HEALTHCARE SYSTEM, LC
Other - Org Name:TULANE UNIVERSITY HOSPITAL & CLINIC
Other - Org Type:Other Name
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 1:1415 TULANE AVE
Mailing Address - Street 2:HC71
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2600
Mailing Address - Country:US
Mailing Address - Phone:504-988-5881
Mailing Address - Fax:866-403-1780
Practice Address - Street 1:1415 TULANE AVE
Practice Address - Street 2:HC71
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2600
Practice Address - Country:US
Practice Address - Phone:504-988-5881
Practice Address - Fax:866-403-1780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1444910OtherMEDICAID COMMUNITY CARE
LA1944386Medicaid
LA1444910OtherMEDICAID COMMUNITY CARE