St. Marygrace Family Practice, Llc
LBN: St. Marygrace Family Practice, Llc
St. Marygrace Family Practice, Llc is an health care organization with primary practice located at 1270 Attakapas Dr Suite 404, Opelousas LA 70570-6549. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
St. Marygrace Family Practice, Llc can be contacted via phone (337) 678-0918, or through Tinubu, Adenike A via phone (337) 678-0918.
Contact Information
Primary practice address
1270 Attakapas Dr Suite 404
Opelousas LA 70570-6549
Phone: (337) 678-0918
Fax: (337) 678-0927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 202981 | Louisiana |
Profile Details
| NPI number | 1639301732 |
|---|---|
| LBN Legal business name | St. Marygrace Family Practice, Llc |
| DBA Doing business as | |
| Authorized official | Tinubu, Adenike A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2009 |
| Last updated | Mar 18th, 2011 - about 13 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 | 1639301732 | NPPES |
| Louisiana | Other | 1306055652 | DR'S NPI |
| Louisiana | MEDICAID | 4507245 | DR'S NPI |
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