New Iberia Maternal Child Clinic

LBN: Pediatric Group Of Acadiana, Llc
New Iberia Maternal Child Clinic is an health care organization with primary practice located at 520 N Lewis St Suite 202, New Iberia LA 70563-2094. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Pediatric Group Of Acadiana, Llc can be contacted via phone (337) 367-2001, or through Gillespie, Ingrid R via phone (337) 839-5533.

Contact Information

Primary practice address
520 N Lewis St Suite 202 New Iberia LA 70563-2094
Phone: (337) 367-2001
Fax: (337) 365-3050
Website:
Map and Directions
Authorized official contact:
Name: Gillespie, Ingrid R MBA
Phone: (337) 839-5533

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10447R Louisiana
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1487839783
LBN Legal business name Pediatric Group Of Acadiana, Llc
DBA Doing business as New Iberia Maternal Child Clinic
Authorized official Gillespie, Ingrid R MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2008
Last updated Dec 12th, 2008 - about 17 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 1487839783 NPPES
Louisiana MEDICAID 1027537

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