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ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT INC. NPI 1184146706


NPI Information

NPI: 1184146706
Provider Name: ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC.

Other Name: ACADIANACARES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 19D1023916

Address:
809 MARTIN LUTHER KING JR DR
LAFAYETTE, LA
ZIP 70501
Phone: (337) 233-2437
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ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC. is a federally qualified health center (fqhc) clinic center in Lafayette, LA. ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC. NPI is 1184146706. The provider is registered as an organization entity type.
The provider Other Name Is Acadianacares.

The provider's business location address is:

809 MARTIN LUTHER KING JR DR
LAFAYETTE, LA
ZIP 70501-884
Phone: (337) 233-2437
Fax: (337) 235-4178

The provider's authorized official is Claude A Martin .
The authorized official title is Ceo and has the following contact phone number (337) 233-2437.

The CLIA number assigned to this NPI record is 19D1023916 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2017 and was last updated on 10/16/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QC1500XClinic/CenterCommunity HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QP2300XClinic/CenterPrimary CareNo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
6261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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
12518542MEDICAIDLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.