Provider Demographics
NPI:1801101514
Name:LOUISIANA HEALTHCARE CONNECTIONS INC.
Entity type:Organization
Organization Name:LOUISIANA HEALTHCARE CONNECTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT CORP. DEV.
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-725-4477
Mailing Address - Street 1:4550 NORTH BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4550 NORTH BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4013
Practice Address - Country:US
Practice Address - Phone:866-595-8133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHY LOUISIANA HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-18
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization