The Pediatric Center Of Sw La

LBN: Sulphur Pediatric Clinic Medical Corporation
The Pediatric Center Of Sw La is an health care organization with primary practice located at 600 Cypress Street , Sulphur LA 70663-5052. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Sulphur Pediatric Clinic Medical Corporation can be contacted via phone (337) 527-6371, or through Richert, Albert W. via phone (337) 527-6371.

Contact Information

Primary practice address
600 Cypress Street Sulphur LA 70663-5052
Phone: (337) 527-6371
Fax: (337) 528-9616
Website:
Map and Directions
Authorized official contact:
Name: Richert, Albert W. Doctor of Medicine (MD)
Phone: (337) 527-6371

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 011494 Louisiana

Profile Details

NPI number 1821042086
LBN Legal business name Sulphur Pediatric Clinic Medical Corporation
DBA Doing business as The Pediatric Center Of Sw La
Authorized official Richert, Albert W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated May 18th, 2011 - about 14 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 1821042086 NPPES
Louisiana MEDICAID 1948195

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