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PEDIATRIC GROUP OF ACADIANA LLC NPI 1679126510


NPI Information

NPI: 1679126510
Provider Name: PEDIATRIC GROUP OF ACADIANA, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1307 CROWLEY RAYNE HWY STE C
CROWLEY, LA
ZIP 70526
Phone: (337) 250-4710
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PEDIATRIC GROUP OF ACADIANA, LLC is a rural health clinic center in Crowley, LA. PEDIATRIC GROUP OF ACADIANA, LLC NPI is 1679126510. The provider is registered as an organization entity type.

The provider's business location address is:

1307 CROWLEY RAYNE HWY STE C
CROWLEY, LA
ZIP 70526-210
Phone: (337) 250-4710

The provider's authorized official is Alec Moyer .
The authorized official title is Business Manager and has the following contact phone number (337) 256-5111.

The enumeration date for this NPI number is 7/19/2019 and was last updated on 7/19/2019.


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
1261QR1300XClinic/CenterRural HealthYes

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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