Pride Plaza

LBN: Pride Plaza
Pride Plaza is an health care organization with primary practice located at 850 N Pierce St , Lafayette LA 70501-2848. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Pride Plaza can be contacted via phone (337) 237-6712, or through Castille, Wartelle J via phone (337) 237-6712.

Contact Information

Primary practice address
850 N Pierce St Lafayette LA 70501-2848
Phone: (337) 237-6712
Fax: (337) 234-1906
Website:
Map and Directions
Authorized official contact:
Name: Castille, Wartelle J Doctor of Medicine (MD)
Phone: (337) 237-6712

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 201660 Louisiana

Profile Details

NPI number 1518280916
LBN Legal business name Pride Plaza
DBA Doing business as
Authorized official Castille, Wartelle J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2010
Last updated Mar 12th, 2010 - about 16 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 1518280916 NPPES
Louisiana MEDICAID 1075850

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