Innovative Medical Clinic
LBN: Innovative Health Services Llc
Innovative Medical Clinic is an health care organization with primary practice located at 1570 Lindberg Dr Ste 12, Slidell LA 70458-8058. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Innovative Health Services Llc can be contacted via phone (985) 649-7070, or through Barton, John V via phone (888) 447-2450.
Contact Information
Primary practice address
1570 Lindberg Dr Ste 12
Slidell LA 70458-8058
Phone: (985) 649-7070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | Louisiana | |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1780998963 |
|---|---|
| LBN Legal business name | Innovative Health Services Llc |
| DBA Doing business as | Innovative Medical Clinic |
| Authorized official | Barton, John V Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 30th, 2010 |
| Last updated | May 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780998963 | NPPES |
| Louisiana | MEDICAID | 1017621 | |
| Louisiana | Other | DR4884 |
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