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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508850413 | NPPES |
| Other | 115 | LIC | |
| Other | A50004330 | LIC | |
| MEDICAID | 1150011 | LIC |
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