WEST JEFFERSON SURGERY CENTER LLC – NPI #1508850413
Clinic/Center
WEST JEFFERSON SURGERY CENTER LLC is an AHC clinic located in MARRERO, LA. NPPES has assigned the NPI number 1508850413 to WEST JEFFERSON SURGERY CENTER LLC on September 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is GWEN MCINNIS ADMINISTRATOR. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WEST JEFFERSON SURGERY CENTER LLC below.
NPI Profile for
WEST JEFFERSON SURGERY CENTER LLC
(about 21 years ago)
STE 105 NORTH
MARRERO, LA 70072 Phone: (504) 349-2332 Fax: (504) 349-2359
ADMINISTRATOR
Phone: (504) 349-6017
Identifiers for WEST JEFFERSON SURGERY CENTER LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | LIC | 115 | |
| OTHER | STATE | A50004330 | |
| MEDICAID | LA | 1150011 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA1903X - Clinic/Center / Ambulatory Surgical (Primary) |
LA |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.