1St A Southeast Incs, Llc in Houma - Point Of Service
1St A Southeast Incs, Llc - NPI 1598983256
1St A Southeast Incs, Llc is a Point Of Service in Houma, Louisiana. 1St A Southeast Incs, Llc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for 1St A Southeast Incs, Llc is 1598983256. The last update date is 2020-08-22.
1St A Southeast Incs, Llc's current location address is 614 Roussell St, Houma, Louisiana. You can contact this provider via phone number 9858760559. The mailing address for 1St A Southeast Incs, Llc is 614 Roussell St, Houma, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 1St A Southeast Incs, Llc |
|---|---|
| Address | 614 Roussell St, Houma, Louisiana |
| Phone Number | 9858760559 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM CO |
|---|---|
| Authorized Official Name | Dickerson Suzanne |
| Telephone Number | 9858760559 |
NPI Number Detail
| NPI Number | 1598983256 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 614 Roussell St |
|---|---|
| City | Houma |
| State | Louisiana (LA) |
| Post Code | 703604556 |
| Phone Number | 9858760559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | 12647 |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1169170 | LA | -- |
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What is the unique 10-digit identification code issued to 1St A Southeast Incs, Llc by the Centers for Medicare & Medicaid Services?
The 1St A Southeast Incs, Llc has been assigned the NPI (National Provider Identifier) 1598983256 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the 1St A Southeast Incs, Llc's physical address?
The 1St A Southeast Incs, Llc is physically located at 614 Roussell St, in the city of Houma, LA, with the postal code 703604556.
What is 1St A Southeast Incs, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The 1St A Southeast Incs, Llc's area of specialization is Point Of Service, and the corresponding taxonomy code that categorizes this field of practice is 305S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1598983256 to 1St A Southeast Incs, Llc?
The Centers for Medicare & Medicaid Services assigned the 1598983256 to 1St A Southeast Incs, Llc on 2007-04-20.
As of what date were the details related to 1St A Southeast Incs, Llc most recently updated or revised?
The information pertaining to 1St A Southeast Incs, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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