Jefferson Davis Emergency Group Llc in Lafayette - Medical
Jefferson Davis Emergency Group Llc - NPI 1043289572
Jefferson Davis Emergency Group Llc is a Medical in Lafayette, Louisiana. Jefferson Davis Emergency Group Llc practices all healthcare services and medical treatments related to Medical. The NPI Number for Jefferson Davis Emergency Group Llc is 1043289572. The last update date is 2022-03-23.
Jefferson Davis Emergency Group Llc's current location address is 200 Corporate Blvd, Lafayette, Louisiana. You can contact this provider via phone number 8008939698. The mailing address for Jefferson Davis Emergency Group Llc is 200 Corporate Blvd, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Davis Emergency Group Llc |
|---|---|
| Address | 200 Corporate Blvd, Lafayette, Louisiana |
| Phone Number | 8008939698 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF CONT |
|---|---|
| Authorized Official Name | Falk C Lisha |
| Telephone Number | 3376091221 |
NPI Number Detail
| NPI Number | 1043289572 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 200 Corporate Blvd |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705083870 |
| Phone Number | 8008939698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1444375 | LA | -- |
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What is the unique 10-digit identification code issued to Jefferson Davis Emergency Group Llc by the Centers for Medicare & Medicaid Services?
The Jefferson Davis Emergency Group Llc has been assigned the NPI (National Provider Identifier) 1043289572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jefferson Davis Emergency Group Llc's physical address?
The Jefferson Davis Emergency Group Llc is physically located at 200 Corporate Blvd, in the city of Lafayette, LA, with the postal code 705083870.
What is Jefferson Davis Emergency Group Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jefferson Davis Emergency Group Llc's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did Jefferson Davis Emergency Group Llc receive its 1043289572 assignment from the Centers for Medicare & Medicaid Services?
The Jefferson Davis Emergency Group Llc was assigned its 1043289572 on 2006-03-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jefferson Davis Emergency Group Llc most recently updated or revised?
The details related to Jefferson Davis Emergency Group Llc, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-23.
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