St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C.

LBN: St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C.
St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C. is an health care organization with primary practice located at 1104 W Highway 30 , Gonzales LA 70737-5003. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is the primary health care specialty. St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C. can be contacted via phone (225) 215-1223, or through Nowacki, Paul R via phone (225) 215-1223.

Contact Information

Primary practice address
1104 W Highway 30 Gonzales LA 70737-5003
Phone: (225) 215-1223
Fax: (225) 766-0218
Website:
Map and Directions
Authorized official contact:
Name: Nowacki, Paul R
Phone: (225) 215-1223

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X

Profile Details

NPI number 1619155124
LBN Legal business name St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C.
DBA Doing business as
Authorized official Nowacki, Paul R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2008
Last updated Jul 22nd, 2013 - 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 1619155124 NPPES
Louisiana MEDICAID 1369306

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