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DIABETES SELF-MANAGEMENT CENTER INC. NPI 1053344093


NPI Information

NPI: 1053344093
Provider Name: DIABETES SELF-MANAGEMENT CENTER, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
420 W PINHOOK RD
SUITE A
LAFAYETTE, LA
ZIP 70503
Phone: (337) 232-1717
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DIABETES SELF-MANAGEMENT CENTER, INC. is a multi-specialty clinic center in Lafayette, LA. DIABETES SELF-MANAGEMENT CENTER, INC. NPI is 1053344093. The provider is registered as an organization entity type.

The provider's business location address is:

420 W PINHOOK RD
SUITE A
LAFAYETTE, LA
ZIP 70503-131
Phone: (337) 232-1717
Fax: (337) 232-1767

The provider's authorized official is Peter C. November .
The authorized official title is Vice President and has the following contact phone number (337) 233-1307.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 11/6/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C8672OTHERLOUISIANABLUE CROSS BLUE SHIELD OF
24D001MEDICARE ID-TYPE UNSPECIFIEDLOUISIANAMULTI-SPECIALTY

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: 4/28/2024

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