Organization

St Tammany Emergency Physicians Group Llc

Emergency Medicine Physician in Covington, LA(View on Map)

Legal Business Name

St Tammany Emergency Physicians Group Llc

NPI Number

1891187654

NPI Type

Organization

Enumeration Date

03/03/2015

Specialties

(Taxonomies)

Code

207P00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 721736
1202 S TYLER ST

City

Norman
Covington

State

OK
LA

Postal Code

73070-8326
70433

Country

US
US

Telephone Number

(405) 240-9381
(985) 898-4000

Authorized Official

Name

Amy Provost

Title or Position

AUTHORIZED OFFICIAL

Telephone Number

(337) 534-0952

Identifiers

Identifier

2384546
03858039

Identifier State

LA
MS

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/22/2022

Provider Address

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