NPI | 1326342064 |
---|---|
Doing Business As | ST CHARLES COMMUNITY HEALTH CENTER, DESTREHAN |
Entity Type | Organization |
Authorized Contact | TRENTON BUSSEY CFO 985-785-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA md04201r) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.04201R) |
207RN0300X Internal Medicine, Nephrology (Licence: LA MD.03945R) | |
Enumeration Date | 2011-01-10 |
Last Update Date | 2012-08-06 |