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STAR QUALITY OUTCOMES CLINIC NPI 1255118386


NPI Information

NPI: 1255118386
Provider Name: STAR QUALITY OUTCOMES CLINIC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
7632 TRAILVIEW DR
GONZALES, LA
ZIP 70737
Phone: (225) 445-9049
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STAR QUALITY OUTCOMES CLINIC is a health service clinic center in Gonzales, LA. STAR QUALITY OUTCOMES CLINIC NPI is 1255118386. The provider is registered as an organization entity type.

The provider's business location address is:

7632 TRAILVIEW DR
GONZALES, LA
ZIP 70737-274
Phone: (225) 445-9049

The provider's authorized official is Jerome Grant .
The authorized official title is Founder and has the following contact phone number (225) 828-7070.

The enumeration date for this NPI number is 9/12/2023 and was last updated on 9/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.