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PARK PLACE SURGERY CENTER LLC NPI 1215996632


NPI Information

NPI: 1215996632
Provider Name: PARK PLACE SURGERY CENTER, LLC

Other Name: PARK PLACE SURGICAL HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 19D0955798

Address:
4811 AMBASSADOR CAFFERY PKWY
SUITE 100
LAFAYETTE, LA
ZIP 70508
Phone: (337) 237-8119
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PARK PLACE SURGERY CENTER, LLC is a general acute care hospital in Lafayette, LA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. PARK PLACE SURGERY CENTER, LLC NPI is 1215996632. The provider is registered as an organization entity type.
The provider Other Name Is Park Place Surgical Hospital.

The provider's business location address is:

4811 AMBASSADOR CAFFERY PKWY
SUITE 100
LAFAYETTE, LA
ZIP 70508-917
Phone: (337) 237-8119

The provider's authorized official is James Brandon Moore .
The authorized official title is Ceo and has the following contact phone number (337) 237-8119.

The CLIA number assigned to this NPI record is 19D0955798 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 7/21/2014.


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
1282N00000XGeneral Acute Care Hospital505LOUISIANAYes

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
1190255MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21700819MEDICAIDLOUISIANA
3=========OTHERLOUISIANATAX ID

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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