Savoy Medical Center - Physicians
Organization Active NPI Internal Medicine Physician · Mamou, LA
NPI 1114236239 · NPPES record last updated Oct 7, 2010
Key facts
- NPI
- 1114236239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- SAVOY MEDICAL CENTER - PHYSICIANS
- Practice address
- 801 Poinciana Ave
Mamou, LA 70554-2243 - Phone
- (337) 468-5261
- Fax
- (337) 468-3342
- NPI assigned
- Oct 7, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Flake
- Title
- Cfo
- Phone
- (337) 468-0128
Corporate family (same tax ID) 11
Practitioners 1
-
Jena Miller Roy, FNP-BC
National Provider Directory
- Tax ID family
- Savoy Medical Management Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
801 Poinciana Ave
Mamou, LA 70554-2243
Mailing address
PO Box 53008
Lafayette, LA 70505-3008
Phone (337) 468-5261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1796590 | Medicaid | LA | |
| 5D046 | Other | MEDICARE PTAN |
Other names
- Savoy Medical Center
Other providers in Mamou, LA
- Nicholas R Saucier
- Jasmine Shanikqua Savoie
- Savoy Family Pharmacy LLC
- Savoy Family Pharmacy LLC
- Savoy Medical Center
- Savoy Medical Management Group, Inc
- Savoy Medical Management Group, Inc
- Savoy Medical Management Group, Inc.
- Savoy Medical Management Group, Inc.
- Savoy Medical Management Group, Inc.
All providers in Mamou, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.