Pediatric Clinic Of West Monroe

LBN: Pediatric Clinic Of West Monroe
Pediatric Clinic Of West Monroe is an health care organization with primary practice located at 104 Contempo Ave , West Monroe LA 71291-5312. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Clinic Of West Monroe can be contacted via phone (318) 329-8181, or through Malmay, Kim via phone (318) 329-8181.

Contact Information

Primary practice address
104 Contempo Ave West Monroe LA 71291-5312
Phone: (318) 329-8181
Fax: (318) 329-8183
Website:
Map and Directions
Authorized official contact:
Name: Malmay, Kim Doctor of Medicine (MD)
Phone: (318) 329-8181

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1265417141
LBN Legal business name Pediatric Clinic Of West Monroe
DBA Doing business as
Authorized official Malmay, Kim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1265417141 NPPES
Louisiana MEDICAID 1450979

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