Angie Medical Clinic, Llc

LBN: Angie Medical Clinic, Llc
Angie Medical Clinic, Llc is an health care organization with primary practice located at 29764 Highway 21 , Angie LA 70426-3069. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Angie Medical Clinic, Llc can be contacted via phone (985) 986-0016, or through Rayford, Donice Jefferson via phone (985) 986-0016.

Contact Information

Primary practice address
29764 Highway 21 Angie LA 70426-3069
Phone: (985) 986-0016
Fax: (985) 986-1260
Website:
Map and Directions
Authorized official contact:
Name: Rayford, Donice Jefferson
Phone: (985) 986-0016

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1831120740
LBN Legal business name Angie Medical Clinic, Llc
DBA Doing business as
Authorized official Rayford, Donice Jefferson
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1831120740 NPPES
Louisiana MEDICAID 1117820
Louisiana MEDICAID 1104264

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