Provider Demographics
NPI:1396761805
Name:OCHSNER BAYOU LLC
Entity type:Organization
Organization Name:OCHSNER BAYOU LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-537-2684
Mailing Address - Street 1:4608 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70394-2623
Mailing Address - Country:US
Mailing Address - Phone:985-873-2200
Mailing Address - Fax:985-873-1262
Practice Address - Street 1:4608 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394-2623
Practice Address - Country:US
Practice Address - Phone:985-873-2200
Practice Address - Fax:985-873-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA594273R00000X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA61386OtherBLUE CROSS PSYCH
LA61387OtherBLUE CROSS HOSPITAL PROV
LAH4260OtherBLUE CROSS CRNA
LA1734357Medicaid
LA1797430Medicaid
LAH4245OtherBLUE CROSS ER PHY
LA5CV03Medicare PIN
LA61386OtherBLUE CROSS PSYCH
LA1797430Medicaid