Providence Medical Clinic

LBN: Providence Medical Clinic
Providence Medical Clinic is an health care organization with primary practice located at 9270 Siegen Ln Suite 202, Baton Rouge LA 70810-1998. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Providence Medical Clinic can be contacted via phone (225) 766-8152, or through Pho, Cuong Minh via phone (225) 766-8152.

Contact Information

Primary practice address
9270 Siegen Ln Suite 202 Baton Rouge LA 70810-1998
Phone: (225) 766-8152
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pho, Cuong Minh
Phone: (225) 766-8152

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Louisiana

Profile Details

NPI number 1700092442
LBN Legal business name Providence Medical Clinic
DBA Doing business as
Authorized official Pho, Cuong Minh
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Aug 22nd, 2020 - about 5 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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