Thibodaux Regional Internal Medicine Clinic
LBN: Thibodaux Regional Network Development Corporation
Thibodaux Regional Internal Medicine Clinic is an health care organization with primary practice located at 400 N Acadia Rd , Thibodaux LA 70301-4856. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Thibodaux Regional Network Development Corporation can be contacted via phone (985) 493-4004, or through Boudreaux, Kim Legendre via phone (985) 493-4907.
Contact Information
Primary practice address
400 N Acadia Rd
Thibodaux LA 70301-4856
Phone: (985) 493-4004
Fax: (985) 493-4007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1306125133 |
|---|---|
| LBN Legal business name | Thibodaux Regional Network Development Corporation |
| DBA Doing business as | Thibodaux Regional Internal Medicine Clinic |
| Authorized official | Boudreaux, Kim Legendre |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2011 |
| Last updated | May 9th, 2024 - about last year |
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 | 1306125133 | NPPES |
| Louisiana | MEDICAID | 2403915 |
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