Provider Type Icon

AVALA PHYSICIAN NETWORK LLC NPI 1922694710


NPI Information

NPI: 1922694710
Provider Name: AVALA PHYSICIAN NETWORK, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 19D0979467

Address:
1200 PINNACLE PKWY
COVINGTON, LA
ZIP 70433
Phone: (985) 674-1700
Get Directions

AVALA PHYSICIAN NETWORK, LLC is a multi-specialty clinic center in Covington, LA. AVALA PHYSICIAN NETWORK, LLC NPI is 1922694710. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 PINNACLE PKWY
COVINGTON, LA
ZIP 70433-167
Phone: (985) 674-1700

The provider's authorized official is Lori Frey .
The authorized official title is Director Revenue Cycle and has the following contact phone number (985) 801-6258.

The CLIA number assigned to this NPI record is 19D0979467 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 6/1/2023.


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
1207T00000XNeurological SurgeryNo
2207X00000XOrthopaedic SurgeryNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
4261QP3300XClinic/CenterPainNo
5261QM1300XClinic/CenterMulti-SpecialtyYes

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.