CARDIOVASCULAR INSTITUTE OF THE SOUTH APMC NPI 1477734424

NPI Information

  • NPI: 1477734424
  • Provider Name: CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: FAMILY DOCTORS CLINIC OF MATHEWS
  • CLIA Number: 19D0970685
  • Address: 111 ACADIA PARK DR
    RACELAND, LA
    ZIP 70394
  • Phone: (985) 537-7575

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NPI Details

CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC is a prosthetic orthotic supplier in Raceland, LA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. CARDIOVASCULAR INSTITUTE OF THE SOUTH, APMC NPI is 1477734424. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Doctors Clinic Of Mathews.

The provider's business location address is:

111 ACADIA PARK DR
RACELAND, LA
ZIP 70394-619
Phone: (985) 537-7575
Fax: (985) 537-7584

The provider's authorized official is David C Konur .
The authorized official title is Chief Executive Officer and has the following contact phone number (985) 876-0300.

The CLIA number assigned to this NPI record is 19D0970685 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 11/19/2007.

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
1335E00000XProsthetic/Orthotic SupplierYes

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
11447943MEDICAIDLOUISIANA
24135970001MEDICARE NSCLOUISIANA

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: 3/30/2025

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