Evans Elysian Fields New Orleans Medical Center Llc

LBN: Evans Elysian Fields New Orleans Medical Center Llc
Evans Elysian Fields New Orleans Medical Center Llc is an health care organization with primary practice located at 4301 Elysian Fields Ave , New Orleans LA 70122-3875. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Evans Elysian Fields New Orleans Medical Center Llc can be contacted via phone (504) 284-3866, or through Montgomery, Tracy via phone (504) 284-3866.

Contact Information

Primary practice address
4301 Elysian Fields Ave New Orleans LA 70122-3875
Phone: (504) 284-3866
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Tracy
Phone: (504) 284-3866

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1245501642
LBN Legal business name Evans Elysian Fields New Orleans Medical Center Llc
DBA Doing business as
Authorized official Montgomery, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2012
Last updated Jan 18th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245501642 NPPES
Louisiana MEDICAID 1942421

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