THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI 1396162269

NPI Information

  • NPI: 1396162269
  • Provider Name: THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 19D0931540
  • Address: 114 HWY 403
    PAINCOURTVILLE, LA
    ZIP 70391
  • Phone: (985) 369-6070

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NPI Details

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION is a family medicine in Paincourtville, 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. THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION NPI is 1396162269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

114 HWY 403
PAINCOURTVILLE, LA
ZIP 70391-300
Phone: (985) 369-6070
Fax: (985) 369-3514

The provider's authorized official is Kim Legendre Boudreaux .
The authorized official title is Director Of Contractings and has the following contact phone number (985) 493-4907.

The CLIA number assigned to this NPI record is 19D0931540 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/27/2014 and was last updated on 6/3/2025.

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
1207Q00000XFamily MedicineYes

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
1CN8396OTHERLOUISIANARAILROAD MEDICARE
22368311MEDICAIDLOUISIANA

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: 11/21/2025

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