West Jefferson Surgery Center, Llc

LBN: West Jefferson Surgery Center, Llc
West Jefferson Surgery Center, Llc is an health care organization with primary practice located at 1111 Medical Center Blvd Ste 105N, Marrero LA 70072-3152. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. West Jefferson Surgery Center, Llc can be contacted via phone (504) 349-2332, or through Juneau, Mark via phone (504) 349-2332.

Contact Information

Primary practice address
1111 Medical Center Blvd Ste 105N Marrero LA 70072-3152
Phone: (504) 349-2332
Fax: (504) 349-2359
Website:
Map and Directions
Authorized official contact:
Name: Juneau, Mark Doctor of Medicine (MD)
Phone: (504) 349-2332

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 115 Louisiana

Profile Details

NPI number 1487657359
LBN Legal business name West Jefferson Surgery Center, Llc
DBA Doing business as
Authorized official Juneau, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1487657359 NPPES
Louisiana MEDICAID 1150011
Louisiana Other 115

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