ACUTE CARE CLINIC


Address: 205 Hermitage Dr, Thibodaux, LA 70301-2914
Phone: 9854480827

ACUTE CARE CLINIC (NPI# 1144495334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144495334
Entity Type Organization
Organization Name ACUTE CARE CLINIC
Other Organization Name FAMILY DOCTORS OF LOUISIANA
Practice Address 205 Hermitage Dr
Thibodaux
LA 70301-2914
Mailing Address 1208 Canal Blvd
Thibodaux
LA 70301-4511
Practice Telephone 9854480827
Practice Fax Number 9854480822
Mailing Telephone 9854480827
Mailing Fax Number 9854480822
Enumeration Date 2008-04-28
Last Update Date 2008-04-28
Authorized Official Name MRS. AYANNA A ALVEREZ (DIRECTOR)
Authorized Official Telephone 5043826011
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
MD06503R LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Family Doctors of Louisiana Doing Business As Name - Organization

Office Location

Street Address 205 HERMITAGE DR
City THIBODAUX
State LA
Zip Code 70301-2914

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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1699827600 Celeste Tolar Mcknight Nurse Practitioner 118 Jjj Ln, Simmesport, LA 71369-2180 2007-01-18
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Competitor

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City THIBODAUX
Zip Code 70301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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