Abundant Health Medical Clinic

LBN: Abundant Health Medical Clinic, Llc
Abundant Health Medical Clinic is an health care organization with primary practice located at 1001 Jackson St , Thibodaux LA 70301-3227. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Abundant Health Medical Clinic, Llc can be contacted via phone (985) 492-9111, or through Robertson, Adrienne Chanelle via phone (334) 294-2758.

Contact Information

Primary practice address
1001 Jackson St Thibodaux LA 70301-3227
Phone: (985) 492-9111
Fax: (985) 492-9114
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Adrienne Chanelle Doctor of Medicine (MD)
Phone: (334) 294-2758

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1003288614
LBN Legal business name Abundant Health Medical Clinic, Llc
DBA Doing business as Abundant Health Medical Clinic
Authorized official Robertson, Adrienne Chanelle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 9 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 1003288614 NPPES
Louisiana MEDICAID 2371231.

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