EVANGELINE SURGICAL CLINIC LLC NPI 1518019892

NPI Information

  • NPI: 1518019892
  • Provider Name: EVANGELINE SURGICAL CLINIC LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 504 JACK MILLER RD STE 6
    VILLE PLATTE, LA
    ZIP 70586
  • Phone: (337) 363-2050

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NPI Details

EVANGELINE SURGICAL CLINIC LLC is a specialist in Ville Platte, 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. EVANGELINE SURGICAL CLINIC LLC NPI is 1518019892. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

504 JACK MILLER RD STE 6
VILLE PLATTE, LA
ZIP 70586-600
Phone: (337) 363-2050

The provider's authorized official is Craig Robert Thompson .
The authorized official title is Manager Member and has the following contact phone number (337) 363-2050.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/22/2020.

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
1174400000XSpecialist22520LOUISIANAYes

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
11486108MEDICAIDLOUISIANA

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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