Slidell Internal Medicine Clinic Llc
LBN: Slidell Internal Medicine Clinic Llc
Slidell Internal Medicine Clinic Llc is an health care organization with primary practice located at 105 Medical Center Dr Suite 301, Slidell LA 70461-5544. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Slidell Internal Medicine Clinic Llc can be contacted via phone (985) 646-0123, or through Larcena, Allan Quibilan via phone (985) 646-0123.
Contact Information
Primary practice address
105 Medical Center Dr Suite 301
Slidell LA 70461-5544
Phone: (985) 646-0123
Fax: (985) 641-0330
Website:
Authorized official contact:
Name: Larcena, Allan Quibilan Doctor of Medicine (MD)
Phone: (985) 646-0123
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11339R | Louisiana |
Profile Details
| NPI number | 1700090016 |
|---|---|
| LBN Legal business name | Slidell Internal Medicine Clinic Llc |
| DBA Doing business as | |
| Authorized official | Larcena, Allan Quibilan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Dec 28th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700090016 | NPPES |
| Louisiana | MEDICAID | 1662097 |
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