1679396907 NPI number — VCP 2 LOUISIANA PROFESSIONAL CORPORATION

Table of content: (NPI 1679396907)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679396907 NPI number — VCP 2 LOUISIANA PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VCP 2 LOUISIANA PROFESSIONAL CORPORATION
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:
6
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:
1679396907
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1109 MEDICAL CENTER DR BLDG 1A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUGUSTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30909-6633
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-328-8346
Provider Business Mailing Address Fax Number:
706-854-2149

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 BAYOU PINES EAST DR
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:
70601-7184
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-328-8346
Provider Business Practice Location Address Fax Number:
706-854-2149
Provider Enumeration Date:
11/05/2024

Additional Information

Authorized Official

Authorized Official Last Name:
HALLIBURTON
Authorized Official First Name:
JEWELL
Authorized Official Middle Name:
Authorized Official Title or Position:
REGIONAL PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
706-888-1256

Provider Taxonomy Codes

  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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