Gastroenterology Clinic, A Professional Medical Corporation

LBN: Gastroenterology Clinic, A Professional Medical Corporation
Gastroenterology Clinic, A Professional Medical Corporation is an health care organization with primary practice located at 611 Grammont St , Monroe LA 71201-7516. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Gastroenterology Clinic, A Professional Medical Corporation can be contacted via phone (318) 325-2634, or through Waldo, Andrew W. via phone (318) 325-2634.

Contact Information

Primary practice address
611 Grammont St Monroe LA 71201-7516
Phone: (318) 325-2634
Fax: (318) 812-1205
Website:
Map and Directions
Authorized official contact:
Name: Waldo, Andrew W.
Phone: (318) 325-2634

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Louisiana

Profile Details

NPI number 1366442642
LBN Legal business name Gastroenterology Clinic, A Professional Medical Corporation
DBA Doing business as
Authorized official Waldo, Andrew W.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366442642 NPPES
Other 23704 BLUE CROSS OF LOUISIANA
MEDICAID 1798240 BLUE CROSS OF LOUISIANA

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