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AVOYELLES ADULT CARE A PROFESSIONAL MEDICAL CORPORATION NPI 1174681647


NPI Information

NPI: 1174681647
Provider Name: AVOYELLES ADULT CARE A PROFESSIONAL MEDICAL CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4239 HIGHWAY 1192
SUITE 200
MARKSVILLE, LA
ZIP 71351
Phone: (318) 253-8600
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AVOYELLES ADULT CARE A PROFESSIONAL MEDICAL CORPORATION is a primary care clinic center in Marksville, LA. AVOYELLES ADULT CARE A PROFESSIONAL MEDICAL CORPORATION NPI is 1174681647. The provider is registered as an organization entity type.

The provider's business location address is:

4239 HIGHWAY 1192
SUITE 200
MARKSVILLE, LA
ZIP 71351-956
Phone: (318) 253-8600
Fax: (318) 253-8654

The provider's authorized official is Kimberly O Corley .
The authorized official title is Office Manager and has the following contact phone number (318) 253-8600.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 4/3/2014.


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
1261QP2300XClinic/CenterPrimary Care023281LOUISIANAYes

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
15A800MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21541729MEDICAIDLOUISIANA
3G74311MEDICARE UPINLOUISIANA
45DJ07MEDICARE PINLOUISIANA

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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