Our Clinic, Inc in Gonzales - Adult Medicine
Our Clinic, Inc - NPI 1962673459
Our Clinic, Inc is a Adult Medicine in Gonzales, Louisiana. Our Clinic, Inc practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Our Clinic, Inc is 1962673459. The last update date is 2008-03-13.
Our Clinic, Inc's current location address is 40189 Pelican Point Pkwy, Gonzales, Louisiana. You can contact this provider via phone number 5044913124. The mailing address for Our Clinic, Inc is 40189 Pelican Point Pkwy, Gonzales, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Our Clinic, Inc |
|---|---|
| Address | 40189 Pelican Point Pkwy, Gonzales, Louisiana |
| Phone Number | 5044913124 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Holmes A Rose |
| Telephone Number | 7134515320 |
NPI Number Detail
| NPI Number | 1962673459 |
|---|---|
| Provider Enumeration Date | 2008-03-12 |
| Last Updated Date | 2008-03-13 |
Provider Mailing Address Detail
| Address | 40189 Pelican Point Pkwy |
|---|---|
| City | Gonzales |
| State | Louisiana (LA) |
| Post Code | 707378501 |
| Phone Number | 5044913124 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | MD.06513R |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Post Comment/ Review Below
What is the unique identifier code issued to Our Clinic, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Our Clinic, Inc has been assigned the NPI (National Provider Identifier) 1962673459. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Our Clinic, Inc is physically located?
The Our Clinic, Inc is situated at the following address: 40189 Pelican Point Pkwy, Gonzales, LA 707378501.
What is Our Clinic, Inc's area of expertise and its corresponding taxonomy classification?
The Our Clinic, Inc's field of specialization is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their areas of practice.
On what date did the Our Clinic, Inc receive the assignment of its 1962673459 from the Centers for Medicare & Medicaid Services?
The Our Clinic, Inc was issued its 1962673459 by the Centers for Medicare & Medicaid Services on 2008-03-12.
As of what date were the details pertaining to Our Clinic, Inc last refreshed?
The information related to the Our Clinic, Inc, including its address, specialty, and other relevant details, was last updated on 2008-03-13.
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