NPIMap

Organization Active NPI

Bayou State Group, Inc

  • Clinic/Center
  • Eunice, LA
National Provider Identifier
1720026727
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAYOU STATE GROUP, INC
Practice address
1021 E Laurel St
Eunice, LA 70535
Phone
(337) 546-0101
Fax
(337) 546-0071
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Freda M Mills
Title
Office Manager
Phone
(337) 546-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1021 E Laurel St
Eunice, LA 70535

Mailing address

PO Box 65208
Baton Rouge, LA 70896-5208
Phone (225) 925-3020

Other names 1

  • Bayou State Medical and Rehab Clinic Other name

National Provider Directory

National Provider Directory

Locations

9508 Plank Rd
Ste B
Clinton, LA 70722
Phone (225) 683-9581

1021 E Laurel Ave
Eunice, LA 70535
Phone (337) 546-0101

423 S Union St
Opelousas, LA 70570
Phone (337) 407-5240

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720026727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65208",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708965208",
            "telephone_number": "225-925-3020",
            "fax_number": "225-925-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E LAUREL ST",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-546-0101",
            "fax_number": "337-546-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU STATE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-546-0101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayou State Medical and Rehab Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.