Provider Demographics
NPI:1801309133
Name:FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC
Entity type:Organization
Organization Name:FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EVP, CHIEF PHYSICIAN OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-765-8724
Mailing Address - Street 1:5000 HENNESSY BLVD.
Mailing Address - Street 2:CHAPEL HALLWAY RM 101
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-3738
Mailing Address - Country:US
Mailing Address - Phone:225-765-8140
Mailing Address - Fax:225-374-0261
Practice Address - Street 1:5000 HENNESSY BLVD
Practice Address - Street 2:CHAPEL HALLWAY RM 101
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-374-0260
Practice Address - Fax:225-374-0261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FMOL HEALTH SYSTEMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-08
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0075471IR3336S0011X
LA007547IR333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy