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SEASIDE HEALTH SYSTEM LLC NPI 1720345663


NPI Information

NPI: 1720345663
Provider Name: SEASIDE HEALTH SYSTEM, LLC

Doing Business As: SEASIDE HEALTH SYSTEM

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 19D2024564

Address:
4363 CONVENTION ST
BATON ROUGE, LA
ZIP 70806
Phone: (225) 522-4076
Get Directions

SEASIDE HEALTH SYSTEM, LLC is a psychiatric hospital in Baton Rouge, LA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. SEASIDE HEALTH SYSTEM, LLC NPI is 1720345663. The provider is registered as an organization entity type.
The provider Is Doing Business As Seaside Health System.

The provider's business location address is:

4363 CONVENTION ST
BATON ROUGE, LA
ZIP 70806-906
Phone: (225) 522-4076
Fax: (225) 522-4076

The provider's authorized official is Kyle Hyduke .
The authorized official title is Ceo/administrator and has the following contact phone number (225) 522-4076.

The CLIA number assigned to this NPI record is 19D2024564 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2012 and was last updated on 5/23/2022.


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
1276400000XRehabilitation, Substance Use Disorder UnitNo
2283Q00000XPsychiatric HospitalYes

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
12700081MEDICAIDLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.