| NPI | 1316604762 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-11-19 |
| Last Updated | 2023-09-05 |
| Authorized Official | Kim Boudreaux Contract Manager Phone: 9854934907 |
| Mailing Address | 602 N Acadia Rd Thibodaux, LA 70301-4823 United States Phone: (985) 493-4907 | Fax: (985) 449-2585 📍 View Map |
| Primary Practice Address | 726 N. Acadia Road, Education Suite Thibodaux, LA 70301 United States Phone: (985) 493-4004 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | - | - |
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About NPI 1316604762
Thibodaux Regional Network Development Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1316604762. The primary specialty listed is Internal Medicine. The organization is located in Thibodaux, LA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-11-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316604762?
NPI 1316604762 belongs to Thibodaux Regional Network Development Corporation, a Internal Medicine in Thibodaux, LA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316604762 active?
The current status of NPI 1316604762 in the NPPES registry is Active. The record was last updated on 2023-09-05.
What specialty is NPI 1316604762?
NPI 1316604762 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316604762?
You can verify NPI 1316604762 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316604762?
The primary practice address on file for NPI 1316604762 is 726 N. Acadia Road, Thibodaux, LA 70301. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316604762 issued?
NPI 1316604762 was first issued (enumerated) on 2021-11-19. The NPPES record was last updated on 2023-09-05.
Practice Location Map
Thibodaux Regional Network Development Corporation is located at 726 N. Acadia Road, Thibodaux, LA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Thibodaux Regional Network Development Corporation. All records sourced from the CMS NPPES registry.