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ST TAMMANY ASSOC FOR RETARDED CITIZENS NPI 1619090867


NPI Information

NPI: 1619090867
Provider Name: ST TAMMANY ASSOC FOR RETARDED CITIZENS

Other Name: STARC

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
1541 SAINT ANN PL
SLIDELL, LA
ZIP 70460
Phone: (985) 646-0219
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ST TAMMANY ASSOC FOR RETARDED CITIZENS is a voluntary or charitable in Slidell, LA. ST TAMMANY ASSOC FOR RETARDED CITIZENS NPI is 1619090867. The provider is registered as an organization entity type.
The provider Other Name Is Starc.

The provider's business location address is:

1541 SAINT ANN PL
SLIDELL, LA
ZIP 70460-315
Phone: (985) 646-0219

The provider's authorized official is Dianne Baham .
The authorized official title is Executive Director and has the following contact phone number (985) 646-0219.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.


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
1251V00000XVoluntary or CharitableLOUISIANAYes

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
11915718MEDICAIDLOUISIANA

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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