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ADULT MEDICINE AND DIAGNOSTIC CENTER NPI 1902173271


NPI Information

NPI: 1902173271
Provider Name: ADULT MEDICINE AND DIAGNOSTIC CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2211 S BURNSIDE AVE STE 4
GONZALES, LA
ZIP 70737
Phone: (225) 647-1947
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ADULT MEDICINE AND DIAGNOSTIC CENTER is a clinic center in Gonzales, LA. The provider is 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). ADULT MEDICINE AND DIAGNOSTIC CENTER NPI is 1902173271. The provider is registered as an organization entity type.

The provider's business location address is:

2211 S BURNSIDE AVE STE 4
GONZALES, LA
ZIP 70737-634
Phone: (225) 647-1947
Fax: (225) 644-3943

The provider's authorized official is Hanna Kalinowska Vazquez .
The authorized official title is Office Manager and has the following contact phone number (225) 647-1947.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 9/2/2016.


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
1261Q00000XClinic/Center022083LOUISIANAYes

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
1G58731MEDICARE UPINLOUISIANA
25Y810MEDICARE PINLOUISIANA
31495859MEDICAIDLOUISIANA

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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