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LAFAYETTE HEALTH VENTURES INC NPI 1417986092


NPI Information

NPI: 1417986092
Provider Name: LAFAYETTE HEALTH VENTURES INC

Doing Business As: DBA FAMILY HEALTH PLAZA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 19D1028953

Address:
1216 CAMELLIA BLVD
LAFAYETTE, LA
ZIP 70508
Phone: (337) 769-0069
Get Directions

LAFAYETTE HEALTH VENTURES INC is a family medicine in Lafayette, 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. LAFAYETTE HEALTH VENTURES INC NPI is 1417986092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Family Health Plaza.

The provider's business location address is:

1216 CAMELLIA BLVD
LAFAYETTE, LA
ZIP 70508-667
Phone: (337) 769-0069
Fax: (337) 769-0068

The provider's authorized official is Brian Kirk .
The authorized official title is Vice President and has the following contact phone number (337) 289-8951.

The CLIA number assigned to this NPI record is 19D1028953 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 4/15/2013.


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 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG2600OTHERLOUISIANARAILROAD
21019650002MEDICARE NSCLOUISIANA
35CM65MEDICARE PINLOUISIANA
41447251MEDICAIDLOUISIANA

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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