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ST TAMMANY COMMUNITY HEALTH CENTER NPI 1477644359


NPI Information

NPI: 1477644359
Provider Name: ST TAMMANY COMMUNITY HEALTH CENTER
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 19D1098895

Address:
1340 14TH ST
SLIDELL, LA
ZIP 70458
Phone: (985) 649-8775
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ST TAMMANY COMMUNITY HEALTH CENTER is a pediatrics in Slidell, LA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ST TAMMANY COMMUNITY HEALTH CENTER NPI is 1477644359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1340 14TH ST
SLIDELL, LA
ZIP 70458-944
Phone: (985) 649-8775
Fax: (985) 649-8703

The provider's authorized official is Madhuri Dixit .
The authorized official title is Md and has the following contact phone number (985) 785-5852.

The CLIA number assigned to this NPI record is 19D1098895 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMD10981RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11452904MEDICAIDLOUISIANA
21444642MEDICAIDLOUISIANA
3191866MEDICARE PINLOUISIANA
41579483MEDICAIDLOUISIANA
51925349MEDICAIDLOUISIANA
61945421MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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