ACADIANA WOUND CLINIC LLC


Address: 850 N Pierce St, Suite C, Lafayette, LA 70501-2848
Phone: 3378738898

ACADIANA WOUND CLINIC LLC (NPI# 1306102884) 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) 1306102884
Entity Type Organization
Organization Name ACADIANA WOUND CLINIC LLC
Other Organization Name ACADIANA WOUND & SPECIALTY SERVICES LLC
Practice Address 850 N Pierce St
Suite C
Lafayette
LA 70501-2848
Mailing Address 850 N Pierce St
Lafayette
LA 70501-2848
Practice Telephone 3378738898
Mailing Telephone 3378738898
Enumeration Date 2012-04-09
Last Update Date 2012-04-09
Authorized Official Name MELANIE A GORDON (OWNER)
Authorized Official Telephone 3378738898
Authorized Official Credential RN WCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
LA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
acadiana wound & specialty services llc Doing Business As Name - Organization

Office Location

Street Address 850 N PIERCE ST
SUITE C
City LAFAYETTE
State LA
Zip Code 70501-2848

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710975487 James M. Mwatibo Family Medicine 850 N Pierce St, Suite D, Lafayette, LA 70501-2848 2005-10-07
1285972224 Meredith Preis Lalonde Occupational Therapist 850 N Pierce St, Suite A, Lafayette, LA 70501-2848 2013-01-25
1982975785 Jennifer Magee Domengeaux Speech-Language Pathologist 850 N Pierce St, Suite A, Lafayette, LA 70501-2848 2012-01-25
1265703409 Mollie Margaret Matthews Speech-Language Pathologist 850 N Pierce St, Suite A, Lafayette, LA 70501-2848 2012-01-19
1548569668 Amy Christine Dean Physical Therapist 850 N Pierce St, Suite A, Lafayette, LA 70501-2848 2011-03-16
1932403003 Benjamin Dougles Wilson Physical Therapist 850 N Pierce St, Suite A, Lafayette, LA 70501-2848 2011-01-05
1144538455 Carolyn Y. Smith Physical Medicine & Rehabilitation 850 N Pierce St, Suite C, Lafayette, LA 70501-2848 2010-09-21
1609184191 K and S Therapy Clinic/Center 850 N Pierce St, Suite A, Lafayette, LA 70501-2848 2010-09-17
1518280916 Pride Plaza Clinic/Center 850 N Pierce St, Lafayette, LA 70501-2848 2010-03-12
1679806178 Childrens Clinic of Acadiana LLC Clinic/Center 850 N Pierce St, Suite F, Lafayette, LA 70501-2848 2009-09-15
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1558766931 Corey Gerard Porche Counselor 708 Jefferson Blvd., Lafayette, LA 70501 2014-10-28
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1063432524 O E Reavill M D, Apmc Clinic/Center 2501 W Pinhook Rd, Lafayette, LA 70508-3346 2006-07-20
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Competitor

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City LAFAYETTE
Zip Code 70501

Improve Information

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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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