Ccp Primary Care Center in Lafayette - Pain Medicine
Ccp Primary Care Center - NPI 1336115997
Ccp Primary Care Center is a Pain Medicine in Lafayette, Louisiana. Ccp Primary Care Center practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Ccp Primary Care Center is 1336115997. The last update date is 2020-08-22.
Ccp Primary Care Center's current location address is 1101 Eraste Landry Rd, Lafayette, Louisiana. You can contact this provider via phone number 3372896690. The mailing address for Ccp Primary Care Center is 1101 Eraste Landry Rd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ccp Primary Care Center |
|---|---|
| Address | 1101 Eraste Landry Rd, Lafayette, Louisiana |
| Phone Number | 3372896690 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Phipps Grover |
| Telephone Number | 3372896690 |
NPI Number Detail
| NPI Number | 1336115997 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1101 Eraste Landry Rd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705063043 |
| Phone Number | 3372896690 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 208Vp0000X |
| Licence No | 22833 |
|
Definition: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14-47692 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ccp Primary Care Center?
The Ccp Primary Care Center has been issued the NPI (National Provider Identifier) 1336115997 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ccp Primary Care Center?
The Ccp Primary Care Center is physically situated at 1101 Eraste Landry Rd, in the city of Lafayette, state of LA, with the postal code 705063043.
What is Ccp Primary Care Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ccp Primary Care Center is Pain Medicine, and the taxonomy code that categorizes this field of expertise is 208Vp0000X.
On what date did the Ccp Primary Care Center receive its 1336115997 assignment from the Centers for Medicare & Medicaid Services?
The Ccp Primary Care Center was assigned its 1336115997 by the Centers for Medicare & Medicaid Services on 2006-02-24.
As of what date were the details related to Ccp Primary Care Center most recently updated or revised?
The information pertaining to Ccp Primary Care Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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