Vicksburg Clinic Llc

LBN: Vicksburg Clinic Llc
Vicksburg Clinic Llc is an health care organization with primary practice located at 508 Broadway , Delhi LA 71232-3002. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Vicksburg Clinic Llc can be contacted via phone (318) 878-3737, or through Brewer, Debbie T via phone (877) 892-9813.

Contact Information

Primary practice address
508 Broadway Delhi LA 71232-3002
Phone: (318) 878-3737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie T
Phone: (877) 892-9813

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1629279054
LBN Legal business name Vicksburg Clinic Llc
DBA Doing business as
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Jun 9th, 2008 - about 18 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 1629279054 NPPES
Louisiana MEDICAID 1444740

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