NPIMap

Organization Active NPI

Southpark Acquisition Company LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
National Provider Identifier
1093970915
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOUTHPARK ACQUISITION COMPANY LLC
Practice address
314 Youngsville Hwy
Lafayette, LA 70508-4524
Phone
(337) 769-4080
Fax
(337) 769-4768
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Promod Seth
Title
Ceo
Phone
(337) 769-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

314 Youngsville Hwy
Lafayette, LA 70508-4524

Mailing address

314 Youngsville Hwy
Lafayette, LA 70508-4524
Phone (337) 769-4080

Other names 1

  • Southpark Hospital Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1093970915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 YOUNGSVILLE HWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084524",
            "telephone_number": "337-769-4080",
            "fax_number": "337-769-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 YOUNGSVILLE HWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084524",
            "telephone_number": "337-769-4080",
            "fax_number": "337-769-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPARK ACQUISITION COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "SETH",
        "authorized_official_first_name": "PROMOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-769-4080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southpark Hospital Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.