Alexandria Womens Center a Medical
Organization Active NPI Obstetrics Physician · Alexandria, LA
NPI 1295872992 · NPPES record last updated Oct 10, 2019
Key facts
- NPI
- 1295872992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics Physician 207VX0000X
- Legal business name
- ALEXANDRIA WOMENS CENTER A MEDICAL
- Practice address
- 3304 Masonic Drive
Suite 4001
Alexandria, LA 71301-9998 - Phone
- (318) 443-7222
- Fax
- (318) 443-7641
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Glenn Richard Aucoin, M.D.
- Title
- Vice President/Treasurer
- Phone
- (318) 443-7222
Practitioners 6
-
Glenn R Aucoin, M. D.
-
Amy E. Babin, M. D.
-
Edan Damian Moran, M. D.
-
Karie H Lafleur, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040505000954 | LA | Part B Supplier - Clinic/Group Practice | 4880682061 |
Receives reassigned benefits from 6 practitioners Practice locations: Alexandria, LA |
National Provider Directory
Locations
3311 Prescott Rd
Ste 401
Alexandria, LA 71301
Phone (318) 443-7222
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
3304 Masonic Dr
Ste 4001
Alexandria, LA 71301
Phone (318) 443-7222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician |
207VX0000X | Yes |
Addresses
Primary practice location
3304 Masonic Drive
Suite 4001
Alexandria, LA 71301-9998
Mailing address
P.O. Box 13318
Suite 410
Alexandria, LA 71315-9998
Phone (318) 443-7222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1917664 | Medicaid | LA | |
| 1489301 | Medicaid | LA | |
| 1492183 | Medicaid | LA | |
| 1363961 | Medicaid | LA |
Other providers in Alexandria, LA
- Alexandria Rheumatology, LLC
- Alexandria Smile Center LLC
- Alexandria Spine & Rehab Center LLC
- Alexandria Surgery
- Alexandria Urology Associates LLP
- Sara Alford
- Hebah Alfraihat
- Thomas Bryce Alger
- Sablaa Ali
- Alied Healthcare Services LLC
All providers in Alexandria, LA · Obstetrics 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 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.