Thibodaux Regional Oncology Clinic
LBN: Thibodaux Regional Network Development Corporation
Thibodaux Regional Oncology Clinic is an health care organization with primary practice located at 608 N Acadia Rd , Thibodaux LA 70301-4847. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty.
Thibodaux Regional Network Development Corporation can be contacted via phone (985) 493-4346, or through Boudreaux, Kim Legendre via phone (985) 493-4907.
Contact Information
Primary practice address
608 N Acadia Rd
Thibodaux LA 70301-4847
Phone: (985) 493-4346
Fax: (985) 449-2560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X |
Profile Details
| NPI number | 1295069490 |
|---|---|
| LBN Legal business name | Thibodaux Regional Network Development Corporation |
| DBA Doing business as | Thibodaux Regional Oncology Clinic |
| Authorized official | Boudreaux, Kim Legendre |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Sep 6th, 2023 - about 3 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 | 1295069490 | NPPES |
| Louisiana | MEDICAID | 2104675 |
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