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FAMILY MEDICAL CLINIC OF MER ROUGE NPI 1346360013


NPI Information

NPI: 1346360013
Provider Name: FAMILY MEDICAL CLINIC OF MER ROUGE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
205 SOUTH DAVENPORT AVE
MER ROUGE, LA
ZIP 71261
Phone: (318) 647-3720
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FAMILY MEDICAL CLINIC OF MER ROUGE is a family medicine in Mer Rouge, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICAL CLINIC OF MER ROUGE NPI is 1346360013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 SOUTH DAVENPORT AVE
MER ROUGE, LA
ZIP 71261
Phone: (318) 647-3720
Fax: (318) 647-5728

The provider's authorized official is George Wyatt Webb .
The authorized official title is Owner and has the following contact phone number (318) 647-3720.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 2/18/2009.


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
1207Q00000XFamily Medicine017205LOUISIANAYes

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
1E36523MEDICARE UPINLOUISIANA
25L710MEDICARE ID-TYPE UNSPECIFIEDLOUISIANAMEDICARE PROVIDER NUMBER
31949434MEDICAIDLOUISIANA

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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