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1ST A SOUTHEAST INCS LLC NPI 1598983256


NPI Information

NPI: 1598983256
Provider Name: 1ST A SOUTHEAST INCS, LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
614 ROUSSELL ST
HOUMA, LA
ZIP 70360
Phone: (985) 876-0559
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1ST A SOUTHEAST INCS, LLC is a point of service in Houma, LA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. 1ST A SOUTHEAST INCS, LLC NPI is 1598983256. The provider is registered as an organization entity type.

The provider's business location address is:

614 ROUSSELL ST
HOUMA, LA
ZIP 70360-556
Phone: (985) 876-0559

The provider's authorized official is Suzanne Dickerson .
The authorized official title is Program Coordinator and has the following contact phone number (985) 876-0559.

The enumeration date for this NPI number is 4/20/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service12647LOUISIANAYes

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
11169170MEDICAIDLOUISIANA

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.