1548287584 NPI number — CHILDREN'S CLINIC OF SOUTHWEST LOUISIANA, INC.

Table of content: (NPI 1548287584)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548287584 NPI number — CHILDREN'S CLINIC OF SOUTHWEST LOUISIANA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILDREN'S CLINIC OF SOUTHWEST LOUISIANA, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548287584
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2903 1ST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE CHARLES
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70601-8809
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-478-6480
Provider Business Mailing Address Fax Number:
337-474-9637

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2903 1ST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE CHARLES
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70601-8809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-478-6480
Provider Business Practice Location Address Fax Number:
337-474-9637
Provider Enumeration Date:
07/16/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
BRUCE
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
337-478-6480

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)