Pediatric Group Of Acadiana, Llc, NPI 1922283225
Rural Health Clinic/Center in Saint Martinville, LA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1922283225
NPI Entity Type Organization
Provider Name Pediatric Group Of Acadiana, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1119 N Main St, Saint Martinville, LA, US
Provider Mailing Address 401 Youngsville Hwy Ste 100, Lafayette, LA, US, 705085173
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Alec Moyer
Official Position BUSINESS MANAGER
Phone 337-256-5111

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

261QR1300X

Taxonomy Name Rural Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Other Organization Name

St. Martinville Maternal-Child and Adult Clinic
Doing Business As

Business Address

Pediatric Group Of Acadiana, Llc
1119 N Main St

Saint Martinville, LA, US

Phone: 337-394-7774

Mailing Address

Pediatric Group Of Acadiana, Llc
401 Youngsville Hwy Ste 100
Lafayette, LA, US
ZIP 705085173
Phone: 337-330-0031

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

174400000X

Other Service Providers

Specialist

10447R LA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
193885 LA MEDICARE RURAL HEALTH ID 01
1027545 LA MEDICAID 05

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