Children Health Care Clinic of Acadiana

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CHILDREN HEALTH CARE CLINIC OF ACADIANA

Practice address

850 N Pierce St
Lafayette, LA 70501-2848

Phone

(337) 237-3501

Fax

(337) 233-9566

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Elvina Clay

Title

Ceo

Phone

(337) 237-3501

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912032038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90408",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705090408",
            "telephone_number": "337-237-3501",
            "fax_number": "337-233-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N PIERCE ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705012848",
            "telephone_number": "337-237-3501",
            "fax_number": "337-233-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN HEALTH CARE CLINIC OF ACADIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "ELVINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-237-3501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1151625",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1944131",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443522",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1498882",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1939994",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yu-Cheng Jeffrey Chen, M.D.
• Sai Sudhakar Chennamsetty, M.D.
• Cheryl Henry-Smith LLC
• Claire E Chevalier
• Kortney Broussard Chevalier, LPC-S
• Children's Critical Care Network of Louisiana
• Children's Multi-Specialty Group LLC
• Childrens Clinic of Acadiana LLC
• Childrens Emergency Medicine Network of Louisiana
• Childrens Heart Clinic of Louisiana LLC

• Health Service Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Health Service Clinic/Center in Louisiana

• 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.