St. Martinville Maternal-Child Clinic

LBN: Pediatric Group Of Acadiana, Llc
St. Martinville Maternal-Child Clinic is an health care organization with primary practice located at 1119 N Main St , Saint Martinville LA 70582-3513. 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) 394-7774, or through Moyer, Alec via phone (337) 256-5111.

Contact Information

Primary practice address
1119 N Main St Saint Martinville LA 70582-3513
Phone: (337) 394-7774
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moyer, Alec
Phone: (337) 256-5111

Health care specialties

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

Profile Details

NPI number 1922283225
LBN Legal business name Pediatric Group Of Acadiana, Llc
DBA Doing business as St. Martinville Maternal-Child Clinic
Authorized official Moyer, Alec
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2008
Last updated Dec 16th, 2019 - about 6 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 1922283225 NPPES
Louisiana Other 193885 MEDICARE RURAL HEALTH ID
Louisiana MEDICAID 1027545 MEDICARE RURAL HEALTH ID

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