Assured Medical,Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Broussard, LA
NPI 1164633772 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1164633772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 173469 (LA)
- Legal business name
- ASSURED MEDICAL,INC
- Practice address
- 620 Bayou Tortue Rd Ste B1
Broussard, LA 70518-7506 - Phone
- (337) 837-7776
- NPI assigned
- May 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Thomas L Ewing
- Title
- Area Manager
- Phone
- (337) 837-7776
National Provider Directory
Locations
620 Bayou Tortue Rd
Ste B1
Broussard, LA 70518
Phone (337) 837-7776
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 173469 | LA | Yes |
Addresses
Primary practice location
620 Bayou Tortue Rd Ste B1
Broussard, LA 70518-7506
Mailing address
PO Box 82207
Lafayette, LA 70598-2207
Phone (337) 837-7776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1628464 | Medicaid | LA |
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- Kyle Babin
- Ariel Babineaux
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All providers in Broussard, LA · Durable Medical Equipment & Medical Supplies in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.