Acadiana Center LLC
Organization Active NPI Urgent Care Clinic/Center · Lafayette, LA
NPI 1386066769 · NPPES record last updated Nov 6, 2017
Key facts
- NPI
- 1386066769
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- ACADIANA CENTER LLC
- Practice address
- 2501 W Pinhook Rd
Lafayette, LA 70508-3346 - Phone
- (337) 269-0136
- NPI assigned
- Jan 20, 2014
- Organization subpart
- No
Authorized official
- Name
- Gordon G Gidman, MD
- Title
- Owner
- Phone
- (337) 269-0136
Practitioners 10
-
Lydia Domingue, NP
-
Gordon Gregory Gidman, M.D.
-
Lindsey Cress Bofinger, F.N.P.
-
Joshua Duane Dahlen, FNP
-
Kirk Francis Knecht, ANP-BC
-
Allison O'Quin, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141022001216 | LA | Part B Supplier - Clinic/Group Practice | 6800017518 |
Receives reassigned benefits from 10 practitioners Practice locations: Lafayette, LA |
National Provider Directory
Locations
2501 W Pinhook Rd
Lafayette, LA 70508
Phone (337) 264-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
2501 W Pinhook Rd
Lafayette, LA 70508-3346
Mailing address
2501 W Pinhook Rd
Lafayette, LA 70508-3346
Phone (337) 269-0136
Other names
- Acadiana Center LLC
Other providers in Lafayette, LA
- Acadiana Area Human Services District
- Acadiana Cardiology
- Acadiana Cares Health
- Acadiana Center for Behavioral Health LLC
- Acadiana Center for Orthopedic & Occupational
- Acadiana Community Based Services
- Acadiana Community Based Services
- Acadiana Community Based Services Inc.
- Acadiana Concern for AIDS Relief Education and Support, Inc.
- Acadiana Concern for AIDS Relief Education and Support, Inc.
All providers in Lafayette, LA · Urgent Care Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2017. 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.