Clark A Gunderson Md Amc

LBN: Clark A Gunderson Md Amc
Clark A Gunderson Md Amc is an health care organization with primary practice located at 2615 Enterprise Blvd , Lake Charles LA 70601-7686. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Clark A Gunderson Md Amc can be contacted via phone (337) 439-0385, or through Gunderson, Clark A via phone (337) 439-0385.

Contact Information

Primary practice address
2615 Enterprise Blvd Lake Charles LA 70601-7686
Phone: (337) 439-0385
Fax: (337) 433-5448
Website:
Map and Directions
Authorized official contact:
Name: Gunderson, Clark A Doctor of Medicine (MD)
Phone: (337) 439-0385

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 0124589 Louisiana

Profile Details

NPI number 1861766321
LBN Legal business name Clark A Gunderson Md Amc
DBA Doing business as
Authorized official Gunderson, Clark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2012
Last updated Mar 1st, 2012 - about 13 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 1861766321 NPPES
Louisiana MEDICAID 114305

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