EVANGELINE CLINICAL SERVICES, INC. (NPI# 1235510280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235510280 |
Entity Type | Organization |
Organization Name | EVANGELINE CLINICAL SERVICES, INC. |
Other Organization Name | SAVOY EMERGENCY ROOM PHYSICIAN GROUP |
Practice Address |
801 Poinciana Ave Mamou LA 70554-2243 |
Mailing Address |
80 Versailles Blvd Suite C Alexandria LA 71303-3979 |
Practice Telephone | 3374685261 |
Enumeration Date | 2015-06-16 |
Last Update Date | 2015-06-16 |
Authorized Official Name | STEPHEN WRIGHT (SVP GROUP OPERATIONS) |
Authorized Official Telephone | 3185617191 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Savoy Emergency Room Physician Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548656465 | Evangeline Clinical Services, Inc. | Radiology | 855 Pierremont Rd, Suite 105, Shreveport, LA 71106-2084 | 2015-04-07 |
Street Address |
801 POINCIANA AVE |
City | MAMOU |
State | LA |
Zip Code | 70554-2243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326035502 | Spot Imaging, LLC | Radiology | 801 Poinciana Ave, Mamou, LA 70554-2243 | 2005-10-03 |
1891356622 | Savoy Medical Management Group, Inc. | Medicare Defined Swing Bed Unit | 801 Poinciana Ave, Mamou, LA 70554-2243 | 2019-06-24 |
1548553019 | Spencer D. Launey | Family Medicine | 801 Poinciana Ave, Mamou, LA 70554-2243 | 2011-05-17 |
1265730485 | Savoy Medical Management Group, Inc | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2011-03-11 |
1114236239 | Savoy Medical Center - Physicians | Internal Medicine | 801 Poinciana Ave, Mamou, LA 70554-2243 | 2010-10-07 |
1760714497 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2010-02-05 |
1477882033 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2009-12-10 |
1144557927 | Savoy Medical Management Group, Inc. | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2009-11-16 |
1255667002 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2009-10-29 |
1205045630 | Llc-ii, LLC | General Acute Care Hospital | 801 Poinciana Ave, 2nd Floor, Mamou, LA 70554-2243 | 2007-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891328498 | Sarah Marie Thibodeaux | Behavioral Analyst | 601 Poinciana Avenue, Mamou, LA 70554 | 2020-02-21 |
1942739404 | Lisa Jack | Counselor | 613 East St, Mamou, LA 70554 | 2017-06-08 |
1225359136 | Juanita Golemon Moorman | Social Worker | 1610 6th St, Mamou, LA 70554 | 2010-06-15 |
1164485173 | Hossam Abdelmonem Abdel-rahman | Internal Medicine | 803 Poinciana Ave, Mamou, LA 70554 | 2006-04-10 |
1801122585 | Savoy Medical Management Group, Inc. | Psychiatric Unit | 1610 7th St, Mamou, LA 70554 | 2009-10-30 |
1215087887 | Michael J Prejean | Psychiatry & Neurology | 1610 7th St, Mamou, LA 70554 | 2007-01-12 |
1184684250 | Gerald E Murdock | Surgery | 1413 7th St, Ste A, Mamou, LA 70554 | 2006-03-24 |
1790187979 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1445 Old Hwy 13, Mamou, LA 70554-2100 | 2014-09-19 |
1477578581 | Savoy Family Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 813 Poinciana Ave, Mamou, LA 70554-2201 | 2006-07-12 |
1508497934 | Savoy Family Pharmacy LLC | Pharmacy | 813 Poinciana Ave, Mamou, LA 70554-2201 | 2020-02-04 |
Find all providers in zip 70554 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639662539 | Doctor By Video,llc | Emergency Medicine | 1700 Central Blvd, Harvey, LA 70058-3288 | 2018-06-14 |
1780028175 | Wayne Thomas Robichaux | Emergency Medicine | 12 Muirfield Dr, La Place, LA 70068-1632 | 2013-04-29 |
1639474257 | C&m Medical Services-st Elizabeth LLC | Emergency Medicine | 1125 West Louisiana Highway 30, Gonzales, LA 70737 | 2011-01-12 |
1972705333 | Isaac Freeborn | Emergency Medicine | 1507 E Whatley Rd, Oakdale, LA 71463-2318 | 2007-06-05 |
1609097898 | Wesley Blake Vanderlan | Emergency Medicine | 400 S Chenier Dr, Madisonville, LA 70447-9389 | 2007-05-02 |
1801945936 | Louis Christopher Benjamin IIi | Emergency Medicine | 18961 Santa Maria Dr, Baton Rouge, LA 70809-6765 | 2007-01-09 |
1134235989 | Victor E Tuckler | Emergency Medicine | 639 Gelpi Ave, Jefferson, LA 70121-1527 | 2006-08-22 |
1710903059 | C & M Medical Services, Inc. | Emergency Medicine | 2450 Severn Ave Ste 205, Metairie, LA 70001 | 2006-07-13 |
1720014392 | Huey August Seyfarth Jr. | Emergency Medicine | 1424 Sherwood Forest Blvd, Baton Rouge, LA 70815-5332 | 2006-06-24 |
1073554010 | Gina Luisa Greco-angelopoulos | Emergency Medicine | 2640 Country Club Rd, Suite 400, Lake Charles, LA 70605-5912 | 2006-06-09 |
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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.