NIGHTWATER MEDICAL CENTER LLC


Address: 719 Okeefe Ave, New Orleans, LA 70113-1906
Phone: 5046555095

NIGHTWATER MEDICAL CENTER LLC (NPI# 1255971180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255971180
Entity Type Organization
Organization Name NIGHTWATER MEDICAL CENTER LLC
Practice Address 719 Okeefe Ave
New Orleans
LA 70113-1906
Mailing Address 1631 Valmont St
New Orleans
LA 70115-4944
Practice Telephone 5046555095
Mailing Telephone 5046555095
Enumeration Date 2020-01-08
Last Update Date 2020-01-08
Authorized Official Name PAUL IKEMIRE (MEMBER)
Authorized Official Telephone 5047175012
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 719 OKEEFE AVE
City NEW ORLEANS
State LA
Zip Code 70113-1906

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1083795991 Southeast Louisiana Veterans Healthcare System Clinic/Center 1601 Perdido St, New Orleans, LA 70112 2006-10-18
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Competitor

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City NEW ORLEANS
Zip Code 70113

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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