St. Philip Clinic

LBN: Roland S. Waguespack Md
St. Philip Clinic is an health care organization with primary practice located at 1108 Saint James St , Vacherie LA 70090-5320. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Roland S. Waguespack Md can be contacted via phone (225) 265-4087, or through Waguespack, Roland S via phone (225) 265-4087.

Contact Information

Primary practice address
1108 Saint James St Vacherie LA 70090-5320
Phone: (225) 265-4087
Fax: (225) 265-4006
Website:
Map and Directions
Authorized official contact:
Name: Waguespack, Roland S Doctor of Medicine (MD)
Phone: (225) 265-4087

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 009974 Louisiana

Profile Details

NPI number 1215141098
LBN Legal business name Roland S. Waguespack Md
DBA Doing business as St. Philip Clinic
Authorized official Waguespack, Roland S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1215141098 NPPES
Louisiana MEDICAID 1442224

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