Independence Health Corp., LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

INDEPENDENCE HEALTH CORP., LLC

Doing business as

RedHawk Medical Products & Services, LLC

Practice address

120 Rue Beauregard Ste 206
Lafayette, LA 70508-3129

Phone

(337) 269-5933

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gerard Darcy Klug

Title

Cfo

Phone

(337) 269-5933

Specialties & licenses 1

Addresses

Other names 1

• RedHawk Medical Products & Services, LLC Doing business as

Locations

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1376188557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53929",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RUE BEAUREGARD STE 206",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083129",
            "telephone_number": "337-269-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HEALTH CORP., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "KLUG",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "DARCY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-269-5933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RedHawk Medical Products & Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.