Gwen Mcinnis Administrator

LBN: West Jefferson Surgery Center Llc
Gwen Mcinnis Administrator is an health care organization with primary practice located at 1111 Medical Center Blvd Ste 105 North, Marrero LA 70072. 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 Mcinnis, Gwendolyn Morvant via phone (504) 349-6017.

Contact Information

Primary practice address
1111 Medical Center Blvd Ste 105 North Marrero LA 70072
Phone: (504) 349-2332
Fax: (504) 349-2359
Website:
Map and Directions
Authorized official contact:
Name: Mcinnis, Gwendolyn Morvant RN MHA
Phone: (504) 349-6017

Health care specialties

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

Profile Details

NPI number 1508850413
LBN Legal business name West Jefferson Surgery Center Llc
DBA Doing business as Gwen Mcinnis Administrator
Authorized official Mcinnis, Gwendolyn Morvant RN MHA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 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 1508850413 NPPES
Other 115 LIC
Other A50004330 LIC
MEDICAID 1150011 LIC

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