PRIDE PLAZA NPI 1518280916

NPI Information

  • NPI: 1518280916
  • Provider Name: PRIDE PLAZA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 850 N PIERCE ST
    LAFAYETTE, LA
    ZIP 70501
  • Phone: (337) 237-6712

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NPI Details

PRIDE PLAZA is a primary care clinic center in Lafayette, LA. PRIDE PLAZA NPI is 1518280916. The provider is registered as an organization entity type.

The provider's business location address is:

850 N PIERCE ST
LAFAYETTE, LA
ZIP 70501-848
Phone: (337) 237-6712
Fax: (337) 234-1906

The provider's authorized official is Wartelle J Castille .
The authorized official title is Owner / Operator and has the following contact phone number (337) 237-6712.

The enumeration date for this NPI number is 3/12/2010 and was last updated on 3/12/2010.

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
1261QP2300XClinic/CenterPrimary Care201660LOUISIANAYes

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
14K723MEDICARE PINLOUISIANA
21075850MEDICAIDLOUISIANA

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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