DELTA MEDICAL CLINIC LLC NPI 1720353618

NPI Information

  • NPI: 1720353618
  • Provider Name: DELTA MEDICAL CLINIC LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 19D2042693
  • Address: 103 DOCTOR BOWEN ST
    BELLE CHASSE, LA
    ZIP 70037
  • Phone: (504) 392-3392

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NPI Details

DELTA MEDICAL CLINIC LLC is a general practice in Belle Chasse, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DELTA MEDICAL CLINIC LLC NPI is 1720353618. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

103 DOCTOR BOWEN ST
BELLE CHASSE, LA
ZIP 70037-505
Phone: (504) 392-3392
Fax: (504) 392-3303

The provider's authorized official is Paula A Himes .
The authorized official title is Billing Office and has the following contact phone number (504) 392-3392.

The CLIA number assigned to this NPI record is 19D2042693 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2012 and was last updated on 6/25/2012.

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
1208D00000XGeneral Practice025901LOUISIANAYes

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: 3/30/2025

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