Gastroenterology Clinic, A Professional Medical Corporation
LBN: Gastroenterology Clinic, A Professional Medical Corporation
Gastroenterology Clinic, A Professional Medical Corporation is an health care organization with primary practice located at 611 Grammont St , Monroe LA 71201-7516. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Gastroenterology Clinic, A Professional Medical Corporation can be contacted via phone (318) 325-2634, or through Waldo, Andrew W. via phone (318) 325-2634.
Contact Information
Primary practice address
611 Grammont St
Monroe LA 71201-7516
Phone: (318) 325-2634
Fax: (318) 812-1205
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | Louisiana |
Profile Details
NPI number | 1366442642 |
---|---|
LBN Legal business name | Gastroenterology Clinic, A Professional Medical Corporation |
DBA Doing business as | |
Authorized official | Waldo, Andrew W. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 28th, 2005 |
Last updated | Jul 21st, 2022 - about 2 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 | 1366442642 | NPPES |
Other | 23704 | BLUE CROSS OF LOUISIANA | |
MEDICAID | 1798240 | BLUE CROSS OF LOUISIANA |
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