Church Point Medical Clinic Llc in Church Point - Medical Specialty
Church Point Medical Clinic Llc - NPI 1114144888
Church Point Medical Clinic Llc is a Medical Specialty in Church Point, Louisiana. Church Point Medical Clinic Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Church Point Medical Clinic Llc is 1114144888. The last update date is 2011-06-21.
Church Point Medical Clinic Llc's current location address is 731 S Main St, Church Point, Louisiana. You can contact this provider via phone number 3376840911 and fax number 3376840912. The mailing address for Church Point Medical Clinic Llc is 731 S Main St, Church Point, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Church Point Medical Clinic Llc |
|---|---|
| Address | 731 S Main St, Church Point, Louisiana |
| Phone Number | 3376840911 |
| Fax Number | 3376840912 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Polanco Marcelo |
| Credentials | M.D. |
| Telephone Number | 3376840911 |
NPI Number Detail
| NPI Number | 1114144888 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2011-06-21 |
Provider Mailing Address Detail
| Address | 731 S Main St |
|---|---|
| City | Church Point |
| State | Louisiana (LA) |
| Post Code | 705254109 |
| Phone Number | 3376840911 |
| Fax Number | 3376840912 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | LA023828 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1485438 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Church Point Medical Clinic Llc by the Centers for Medicare & Medicaid Services?
The Church Point Medical Clinic Llc has been issued the NPI (National Provider Identifier) 1114144888 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Church Point Medical Clinic Llc is located?
The Church Point Medical Clinic Llc is situated at the following address: 731 S Main St, Church Point, LA, 705254109.
What is Church Point Medical Clinic Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Church Point Medical Clinic Llc is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114144888 to Church Point Medical Clinic Llc?
The Centers for Medicare & Medicaid Services originally issued the 1114144888 to Church Point Medical Clinic Llc on 2007-04-20.
When was the Church Point Medical Clinic Llc's information last updated?
The Church Point Medical Clinic Llc's information was last updated on 2011-06-21.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY