Ccp Primary Care Center
LBN: Ccp Primary Care Center
Ccp Primary Care Center is an health care organization with primary practice located at 1101 Eraste Landry Rd , Lafayette LA 70506-3043. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Ccp Primary Care Center can be contacted via phone (337) 289-6690, or through Phipps, Grover via phone (337) 289-6690.
Contact Information
Primary practice address
1101 Eraste Landry Rd
Lafayette LA 70506-3043
Phone: (337) 289-6690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 022833 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP04512 | Louisiana |
Profile Details
| NPI number | 1336115997 |
|---|---|
| LBN Legal business name | Ccp Primary Care Center |
| DBA Doing business as | |
| Authorized official | Phipps, Grover |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 24th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336115997 | NPPES |
| Louisiana | MEDICAID | 14-47692 |
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