Ccp Medical Management, Llc

LBN: Ccp Medical Management, Llc
Ccp Medical Management, Llc is an health care organization with primary practice located at 213 Fourpark Rd Suite C, Lafayette LA 70507-2481. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Ccp Medical Management, Llc can be contacted via phone (337) 896-6400, or through Phipps, Grover via phone (337) 896-6400.

Contact Information

Primary practice address
213 Fourpark Rd Suite C Lafayette LA 70507-2481
Phone: (337) 896-6400
Fax: (337) 896-6441
Website:
Map and Directions
Authorized official contact:
Name: Phipps, Grover
Phone: (337) 896-6400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 026036 Louisiana

Profile Details

NPI number 1740466440
LBN Legal business name Ccp Medical Management, Llc
DBA Doing business as
Authorized official Phipps, Grover
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2008
Last updated Jan 14th, 2008 - about 17 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 1740466440 NPPES
Louisiana MEDICAID 1447692

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