Provider Demographics
NPI:1679897847
Name:OCHSNER MEDICAL CENTER - NORTHSHORE, LLC
Entity type:Organization
Organization Name:OCHSNER MEDICAL CENTER - NORTHSHORE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EVP - CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:POSECAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-842-3400
Mailing Address - Street 1:100 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5520
Mailing Address - Country:US
Mailing Address - Phone:985-649-7070
Mailing Address - Fax:985-646-5552
Practice Address - Street 1:100 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5520
Practice Address - Country:US
Practice Address - Phone:985-646-5800
Practice Address - Fax:985-646-5839
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OCHSNER MEDICAL CENTER - NORTHSHORE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-17
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
19T204Medicare Oscar/Certification