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WILLIAM WILDER APMC NPI 1093032237


NPI Information

NPI: 1093032237
Provider Name: WILLIAM WILDER, APMC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
12 PROFESSIONAL DR
HOUMA, LA
ZIP 70360
Phone: (985) 868-1810
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WILLIAM WILDER, APMC is a medical specialty clinic center in Houma, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WILLIAM WILDER, APMC NPI is 1093032237. The provider is registered as an organization entity type.

The provider's business location address is:

12 PROFESSIONAL DR
HOUMA, LA
ZIP 70360-046
Phone: (985) 868-1810
Fax: (985) 876-3670

The provider's authorized official is Tina T Levron .
The authorized official title is Clinic Adminstrator and has the following contact phone number (985) 868-1810.

The enumeration date for this NPI number is 4/28/2010 and was last updated on 4/28/2010.


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
1261QM2500XClinic/CenterMedical Specialty11220KENTUCKYYes

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
15J955MEDICARE PINLOUISIANA
2B60666MEDICARE UPINLOUISIANA
31129241MEDICAIDLOUISIANA

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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