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ACADIA PARISH POLICE JURY COMMUNITY CLINIC NPI 1578684494


NPI Information

NPI: 1578684494
Provider Name: ACADIA PARISH POLICE JURY COMMUNITY CLINIC
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

CLIA Number: 19D1041950

Address:
200 FROG FESTIVAL DR
RAYNE, LA
ZIP 70578
Phone: (337) 334-2153
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ACADIA PARISH POLICE JURY COMMUNITY CLINIC is a public health and state or local clinic center in Rayne, LA. ACADIA PARISH POLICE JURY COMMUNITY CLINIC NPI is 1578684494. The provider is registered as an organization entity type.

The provider's business location address is:

200 FROG FESTIVAL DR
RAYNE, LA
ZIP 70578-733
Phone: (337) 334-2153
Fax: (337) 334-2192

The provider's authorized official is Wendy Ravey Signorelli .
The authorized official title is R.n.,director and has the following contact phone number (337) 334-2153.

The CLIA number assigned to this NPI record is 19D1041950 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.


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
1261QP0905XClinic/CenterPublic Health, State or LocalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11410705MEDICAIDLOUISIANA

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

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