Pediatric Group Of Acadiana, Llc in New Iberia - Rural Health

Pediatric Group Of Acadiana, Llc - NPI 1487839783

Pediatric Group Of Acadiana, Llc is a Rural Health in New Iberia, Louisiana. Pediatric Group Of Acadiana, Llc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Pediatric Group Of Acadiana, Llc is 1487839783. The last update date is 2008-12-12.

Pediatric Group Of Acadiana, Llc's current location address is 520 N Lewis St, New Iberia, Louisiana. You can contact this provider via phone number 3373672001 and fax number 3373653050. The mailing address for Pediatric Group Of Acadiana, Llc is 520 N Lewis St, New Iberia, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Group Of Acadiana, Llc
Address 520 N Lewis St, New Iberia, Louisiana
Phone Number 3373672001
Fax Number 3373653050
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Gillespie R Ingrid
Credentials MBA
Telephone Number 3378395533

NPI Number Detail

NPI Number 1487839783
Provider Enumeration Date 2008-01-04
Last Updated Date 2008-12-12

Provider Mailing Address Detail

Address 520 N Lewis St
City New Iberia
State Louisiana (LA)
Post Code 705632094
Phone Number 3373672001
Fax Number 3373653050

Provider's Primary Taxonomy Detail

Speciality Rural Health
Taxonomy 261Qr1300X
Definition:
Provides primary care and preventive health services in rural medically underserved areas.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1027537 LA --

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FAQs about Pediatric Group Of Acadiana, Llc

What is the Pediatric Group Of Acadiana, Llc's unique identification number?

The Pediatric Group Of Acadiana, Llc has been assigned the NPI (National Provider Identifier) Number 1487839783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Pediatric Group Of Acadiana, Llc is physically located?

The Pediatric Group Of Acadiana, Llc is situated at the following address: 520 N Lewis St, New Iberia, LA 705632094.

What is Pediatric Group Of Acadiana, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Pediatric Group Of Acadiana, Llc is Rural Health, and the taxonomy code that classifies this field of practice is 261Qr1300X.

On what date did the Pediatric Group Of Acadiana, Llc receive its 1487839783 assignment from the Centers for Medicare & Medicaid Services?

The Pediatric Group Of Acadiana, Llc was assigned its 1487839783 by the Centers for Medicare & Medicaid Services on 2008-01-04.

When was the Pediatric Group Of Acadiana, Llc's information last updated?

The Pediatric Group Of Acadiana, Llc's information was last updated on 2008-12-12.

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