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Allied Medicine Inc

Organization Active NPI Custodial Care Facility · Broussard, LA

NPI 1750569166 · NPPES record last updated Feb 7, 2008

Key facts

NPI
1750569166
Entity type
Organization (NPI type 2)
Primary specialty
Custodial Care Facility 311Z00000X
License
14245 (LA)
Legal business name
ALLIED MEDICINE INC
Practice address
620 Bayou Tortue Rd
Broussard, LA 70518-7506
Phone
(337) 837-6420
Fax
(337) 837-6665
NPI assigned
Feb 7, 2008
Organization subpart
No

Authorized official

Name
Mrs. Frances Bernard
Title
President/Ceo
Phone
(337) 837-6420

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Allied Medicine Inc (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 14245 LA Yes

Addresses

Primary practice location

620 Bayou Tortue Rd
Broussard, LA 70518-7506

Mailing address

620 Bayou Tortue Rd
Broussard, LA 70518-7506
Phone (337) 837-6420

Other identifiers

IdentifierTypeStateIssuer
1353299MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 7, 2008.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1750569166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BAYOU TORTUE RD",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705187506",
            "telephone_number": "337-837-6420",
            "fax_number": "337-837-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BAYOU TORTUE RD",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705187506",
            "telephone_number": "337-837-6420",
            "fax_number": "337-837-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "337-837-6420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "LA",
            "license": "14245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1353299",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

All providers in Broussard, LA · Custodial Care Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.