Organization Name: | BASTROP PEDIATRIC DAY HEALTH CENTER, LLC |
NPI Number: | 1033552385 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUZANNE SMITH (ADMINISTRATOR/DON) |
Mailing Address: | 205 Hall St Bastrop |
State: | LA US |
Postal Code: | 712204602 |
Phone Number: | 3182818009 |
Fax Number: | 3182812937 |
NPI Enumeration Date: | 04/16/2013 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |