Jefferson Street Clinic
LBN: Jefferson Street Clinic Llc
Jefferson Street Clinic is an health care organization with primary practice located at 618 Jefferson Blvd , Lafayette LA 70501-7206. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Jefferson Street Clinic Llc can be contacted via phone (240) 481-7672, or through Yufenyuy, Beryl Wayi via phone (240) 481-7672.
Contact Information
Primary practice address
618 Jefferson Blvd
Lafayette LA 70501-7206
Phone: (240) 481-7672
Fax:
Website:
Authorized official contact:
Name: Yufenyuy, Beryl Wayi Advanced Practice Registered Nurse (APRN)
Phone: (240) 481-7672
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1477289817 |
|---|---|
| LBN Legal business name | Jefferson Street Clinic Llc |
| DBA Doing business as | Jefferson Street Clinic |
| Authorized official | Yufenyuy, Beryl Wayi Advanced Practice Registered Nurse (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2022 |
| Last updated | Dec 28th, 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.
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