Southcare Medical Llc

LBN: Southcare Medical Llc
Southcare Medical Llc is an health care organization with primary practice located at 1305 N State St , Abbeville LA 70510-2825. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Southcare Medical Llc can be contacted via phone (337) 422-6240, or through Sugeng, Cristyana via phone (337) 422-6240.

Contact Information

Primary practice address
1305 N State St Abbeville LA 70510-2825
Phone: (337) 422-6240
Fax: (337) 422-6241
Website:
Map and Directions
Authorized official contact:
Name: Sugeng, Cristyana Bachelor of Arts (BA)
Phone: (337) 422-6240

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD200292 Louisiana
Ambulatory Health Care Facilities / Rural Health 261QR1300X 2203782387 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP07807 Louisiana

Profile Details

NPI number 1215294830
LBN Legal business name Southcare Medical Llc
DBA Doing business as
Authorized official Sugeng, Cristyana Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2012
Last updated Mar 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215294830 NPPES
Louisiana Other 2203782387 DHH RHC
Louisiana Other 33165 DHH RHC
Louisiana Other 19D2035943 DHH RHC
Louisiana MEDICAID 2406922 DHH RHC

Popular Providers