Mayo Medical Clinic

LBN: Mayo Medical Clinic
Mayo Medical Clinic is an health care organization with primary practice located at 3401 North Blvd Suite 360, Baton Rouge LA 70806-3743. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mayo Medical Clinic can be contacted via phone (225) 381-2712, or through Mayo, Tamika via phone (225) 381-2712.

Contact Information

Primary practice address
3401 North Blvd Suite 360 Baton Rouge LA 70806-3743
Phone: (225) 381-2712
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mayo, Tamika Doctor of Medicine (MD)
Phone: (225) 381-2712

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 023611 Louisiana

Profile Details

NPI number 1902095987
LBN Legal business name Mayo Medical Clinic
DBA Doing business as
Authorized official Mayo, Tamika Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated May 24th, 2011 - about 15 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 1902095987 NPPES
Louisiana MEDICAID 1576565

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