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ABBEVILLE GENERAL HOSPITAL NPI 1619458247


NPI Information

NPI: 1619458247
Provider Name: ABBEVILLE GENERAL HOSPITAL

Doing Business As: ABBEVILLE URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 19D2152755

Address:
2421 ALONZO STREET
ABBEVILLE, LA
ZIP 70510
Phone: (337) 892-6919
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ABBEVILLE GENERAL HOSPITAL is an urgent care clinic center in Abbeville, LA. ABBEVILLE GENERAL HOSPITAL NPI is 1619458247. The provider is registered as an organization entity type.
The provider Is Doing Business As Abbeville Urgent Care.

The provider's business location address is:

2421 ALONZO STREET
ABBEVILLE, LA
ZIP 70510-008
Phone: (337) 892-6919
Fax: (337) 892-6920

The provider's authorized official is Demetria Martin .
The authorized official title is Director Of Bus Off And Pt Access and has the following contact phone number (337) 898-6525.

The CLIA number assigned to this NPI record is 19D2152755 - other - urgent care clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 11/10/2020.


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
1261QU0200XClinic/CenterUrgent CareYes

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
12488368MEDICAIDLOUISIANA
2756231OTHERLOUISIANAMEDICARE PTAN#

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: 5/5/2024

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