Childrens Clinic Of Raceland Llc
Pediatrics
Childrens Clinic Of Raceland Llc is a Raceland, Louisiana based Pediatric center with medical specialization in
General Pediatrics. Childrens Clinic Of Raceland Llc is also known as
Childrens Clinic Of Raceland.
It is located at
110 Acadia Park Dr, Raceland, Louisiana - 70394-2618. They can be contacted on phone at
985-537-8687 and fax number 985-537-8976.
NPI number (Unique professional ID) for Childrens Clinic Of Raceland Llc is
1902009350 which was assigned by NPPES on 05 Jun, 2007 and it was last updated on 04 Mar, 2021.
Childrens Clinic Of Raceland Llc license number is
08233R for Pediatrics (208000000X) in Louisiana.
Childrens Clinic Of Raceland Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Childrens Clinic Of Raceland Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Childrens Clinic Of Raceland Llc |
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| Other Name : | Childrens Clinic Of Raceland |
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Business Address:
Childrens Clinic Of Raceland Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 110 Acadia Park Dr
Raceland, LA, 70394-2618
United States |
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| Phone Number : | 985-537-8687 |
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| Fax Number : | 985-537-8976 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902009350 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 05 Jun, 2007 |
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| Last Updated On : | 04 Mar, 2021 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Luisacuario Bacuta-tagorda |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | MEMBER MANAGER |
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| Phone Number : | 985-537-8687 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Childrens Clinic Of Raceland Llc are as mentioned. Primary taxonomy code for Childrens Clinic Of Raceland Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 261QP2300X | Clinic/Center Primary Care | No | 08233R | LA |
| 208000000X | Pediatrics | Yes | 08233R | LA |
Legacy Identifiers:
Other legacy medical identifiers of Childrens Clinic Of Raceland Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1819336 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 110 Acadia Park Dr
Raceland, LA, 70394-2618
United States |
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| Phone Number : | 985-537-8687 |
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| Fax Number : | 985-537-8976 |
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Business Location:
Patients can refer following map for directions to
Childrens Clinic Of Raceland Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.