Organization Name: | POINTE COUPEE BETTER ACCESS COMMUNITY HEALTHCARE |
NPI Number: | 1073576823 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN DAVID (EXECUTIVE DIRECTOR) |
Mailing Address: | 230 Roberts Drive Suite C New Roads |
State: | LA US |
Postal Code: | 70760 |
Phone Number: | 2256388900 |
Fax Number: | 2256388833 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 06/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP1100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Podiatric |
Taxonomy Definition: |