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PROFESSIONAL PEDIATRICS LLC NPI 1376717959


NPI Information

NPI: 1376717959
Provider Name: PROFESSIONAL PEDIATRICS, LLC

Doing Business As: THE PEDIATRIC CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
919 S 10TH ST
LEESVILLE, LA
ZIP 71446
Phone: (337) 239-2207
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PROFESSIONAL PEDIATRICS, LLC is a rural health clinic center in Leesville, LA. PROFESSIONAL PEDIATRICS, LLC NPI is 1376717959. The provider is registered as an organization entity type.
The provider Is Doing Business As The Pediatric Center.

The provider's business location address is:

919 S 10TH ST
LEESVILLE, LA
ZIP 71446-613
Phone: (337) 239-2207

The provider's authorized official is Robert Crowe .
The authorized official title is Physician and has the following contact phone number (337) 238-0777.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 7/21/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2261QR1300XClinic/CenterRural HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12114841MEDICAIDLOUISIANA

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: 5/5/2024

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