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ALEXANDRIA NEUROSURGICAL CLINIC INC NPI 1447206537


NPI Information

NPI: 1447206537
Provider Name: ALEXANDRIA NEUROSURGICAL CLINIC INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 19D2045829

Address:
3704 NORTH BLVD
SUITE C
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 443-4576
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ALEXANDRIA NEUROSURGICAL CLINIC INC is a specialist in Alexandria, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALEXANDRIA NEUROSURGICAL CLINIC INC NPI is 1447206537. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3704 NORTH BLVD
SUITE C
ALEXANDRIA, LA
ZIP 71301-606
Phone: (318) 443-4576
Fax: (318) 449-5579

The provider's authorized official is Michael Lawrence Drerup .
The authorized official title is President and has the following contact phone number (318) 443-4576.

The CLIA number assigned to this NPI record is 19D2045829 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/7/2014.


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
1174400000XSpecialistYes

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
1CT1911MEDICARE PINLOUISIANA
21792535MEDICAIDLOUISIANA
30867910001MEDICARE NSCLOUISIANA
45B059MEDICARE PINLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.