Pontchartrain Pediatrics Llc

LBN: Pontchartrain Pediatrics Llc
Pontchartrain Pediatrics Llc is an health care organization with primary practice located at 4405 Highway 190 East Service Rd , Covington LA 70433-4957. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pontchartrain Pediatrics Llc can be contacted via phone (985) 893-8505, or through Jones, Vickie via phone (985) 893-8505.

Contact Information

Primary practice address
4405 Highway 190 East Service Rd Covington LA 70433-4957
Phone: (985) 893-8505
Fax: (985) 893-0093
Website:
Map and Directions
Authorized official contact:
Name: Jones, Vickie
Phone: (985) 893-8505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Louisiana

Profile Details

NPI number 1881727691
LBN Legal business name Pontchartrain Pediatrics Llc
DBA Doing business as
Authorized official Jones, Vickie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Jan 5th, 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 1881727691 NPPES
Louisiana MEDICAID 1442810

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