NPIMap

Organization Active NPI

Lafayette Health Ventures Inc.

Doing business as Advanced Medical Supplies & Services

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, LA
National Provider Identifier
1639100704
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LAFAYETTE HEALTH VENTURES INC.
Doing business as
Advanced Medical Supplies & Services
Practice address
1010 Coolidge Blvd
Lafayette, LA 70503-2436
Phone
(337) 289-8929
Fax
(337) 289-8928
NPI assigned
Jul 6, 2006
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Paul Molbert
Title
Vice President
Phone
(337) 289-7138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1010 Coolidge Blvd
Lafayette, LA 70503-2436

Mailing address

1010 Coolidge Blvd
Lafayette, LA 70503-2436
Phone (337) 289-8929

Other identifiers 1

IdentifierTypeStateIssuer
1660141MedicaidLA

Other names 1

  • Advanced Medical Supplies & Services Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

1010 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 289-8929

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1639100704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032436",
            "telephone_number": "337-289-8929",
            "fax_number": "337-289-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032436",
            "telephone_number": "337-289-8929",
            "fax_number": "337-289-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE HEALTH VENTURES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "MOLBERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "337-289-7138"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1660141",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Supplies & Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.