Ibl Special Care Management Services

LBN: Ibl Special Care Management Services
Ibl Special Care Management Services is an health care organization with primary practice located at 11616 Southfork Ave Ste 204, Baton Rouge LA 70816-5241. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Ibl Special Care Management Services can be contacted via phone (225) 291-3123, or through Roach, Samantha Ann via phone (225) 291-3123.

Contact Information

Primary practice address
11616 Southfork Ave Ste 204 Baton Rouge LA 70816-5241
Phone: (225) 291-3123
Fax: (225) 291-3069
Website:
Map and Directions
Authorized official contact:
Name: Roach, Samantha Ann
Phone: (225) 291-3123

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X PCA 15172 Louisiana

Profile Details

NPI number 1306083894
LBN Legal business name Ibl Special Care Management Services
DBA Doing business as
Authorized official Roach, Samantha Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2009
Last updated Feb 4th, 2009 - about 15 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 1306083894 NPPES
Louisiana MEDICAID PC0007839

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