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CENLA CHILDREN'S CLINIC & ASSOCIATES NPI 1871670752


NPI Information

NPI: 1871670752
Provider Name: CENLA CHILDREN'S CLINIC & ASSOCIATES

Doing Business As: PINEVILLE CHILDREN'S CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 19D0920680

Address:
501 MEDICAL CENTER DR # 30140 SUITE 100
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 487-1358
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CENLA CHILDREN'S CLINIC & ASSOCIATES is a specialist in Alexandria, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENLA CHILDREN'S CLINIC & ASSOCIATES NPI is 1871670752. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pineville Children's Clinic.

The provider's business location address is:

501 MEDICAL CENTER DR # 30140 SUITE 100
ALEXANDRIA, LA
ZIP 71301-124
Phone: (318) 487-1358
Fax: (318) 487-9584

The provider's authorized official is C V Reddy .
The authorized official title is President and has the following contact phone number (318) 487-1358.

The CLIA number assigned to this NPI record is 19D0920680 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/31/2006 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
1174400000XSpecialistYes

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
11435775MEDICAIDLOUISIANA
21196371MEDICAIDLOUISIANA
31740283852OTHERLOUISIANADR. DANIVAS NPI#
41053314187OTHERLOUISIANADR. BHARGAVA'S NPI#
51730182866OTHERLOUISIANADR REDDY'S NPI#
61682152MEDICAIDLOUISIANA

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

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