1St A Southeast Incs, Llc

LBN: 1St A Southeast Incs, Llc
1St A Southeast Incs, Llc is an health care organization with primary practice located at 614 Roussell St , Houma LA 70360-4556. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. 1St A Southeast Incs, Llc can be contacted via phone (985) 876-0559, or through Dickerson, Suzanne via phone (985) 876-0559.

Contact Information

Primary practice address
614 Roussell St Houma LA 70360-4556
Phone: (985) 876-0559
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dickerson, Suzanne
Phone: (985) 876-0559

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 12649 Louisiana

Profile Details

NPI number 1407074164
LBN Legal business name 1St A Southeast Incs, Llc
DBA Doing business as
Authorized official Dickerson, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407074164 NPPES
Louisiana MEDICAID 1169145

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