Provider Demographics
NPI:1013489533
Name:WOMANS HOSPITAL FOUNDATION
Entity Type:Organization
Organization Name:WOMANS HOSPITAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:G
Authorized Official - Last Name:FONTENOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-924-8104
Mailing Address - Street 1:9637 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-2632
Mailing Address - Country:US
Mailing Address - Phone:225-924-8300
Mailing Address - Fax:225-927-6951
Practice Address - Street 1:9637 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-2632
Practice Address - Country:US
Practice Address - Phone:225-924-8300
Practice Address - Fax:225-927-6951
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOMANS HOSPITAL FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty