Provider Demographics
NPI:1740995521
Name:FIRST DOWN HEALTHCARE
Entity type:Organization
Organization Name:FIRST DOWN HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-887-3142
Mailing Address - Street 1:3926 BARRON ST STE C210
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5798
Mailing Address - Country:US
Mailing Address - Phone:504-887-3142
Mailing Address - Fax:504-887-3145
Practice Address - Street 1:3926 BARRON ST STE C210
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5798
Practice Address - Country:US
Practice Address - Phone:504-887-3142
Practice Address - Fax:504-887-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1003028762OtherPROVIDER