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LOURDES AFTER HOURS LLC NPI 1649297730


NPI Information

NPI: 1649297730
Provider Name: LOURDES AFTER HOURS LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 19D2048779

Address:
1700 KALISTE SALOOM RD
BUILDING 2, STE 200
LAFAYETTE, LA
ZIP 70508
Phone: (337) 981-5085
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LOURDES AFTER HOURS LLC is an urgent care clinic center in Lafayette, LA. LOURDES AFTER HOURS LLC NPI is 1649297730. The provider is registered as an organization entity type.

The provider's business location address is:

1700 KALISTE SALOOM RD
BUILDING 2, STE 200
LAFAYETTE, LA
ZIP 70508-186
Phone: (337) 981-5085
Fax: (337) 981-5466

The provider's authorized official is Kevin Dibenedetto .
The authorized official title is Md and has the following contact phone number (225) 214-9352.

The CLIA number assigned to this NPI record is 19D2048779 - other - urgent care walkin clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 1/24/2023.


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
1261QU0200XClinic/CenterUrgent Care18380LOUISIANAYes

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
11444588MEDICAIDLOUISIANA
2DC8132OTHERLOUISIANARAILROAD

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.