Community Medical Group-St Charles Inc

LBN: Community Medical Group-St Charles Inc
Community Medical Group-St Charles Inc is an health care organization with primary practice located at 1057 Paul Maillard Rd Suite2250, Luling LA 70070-4349. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Community Medical Group-St Charles Inc can be contacted via phone (985) 785-2218, or through Mcdaniel, John W via phone (504) 522-2014.

Contact Information

Primary practice address
1057 Paul Maillard Rd Suite2250 Luling LA 70070-4349
Phone: (985) 785-2218
Fax: (985) 785-7753
Website:
Map and Directions
Authorized official contact:
Name: Mcdaniel, John W
Phone: (504) 522-2014

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1407281546
LBN Legal business name Community Medical Group-St Charles Inc
DBA Doing business as Community Medical Group-St Charles Inc
Authorized official Mcdaniel, John W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2013
Last updated Feb 17th, 2014 - about 12 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 1407281546 NPPES
Louisiana MEDICAID 2351036

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