NPIMap

Lafayette Health Ventures, Inc

Organization Active NPI Family Medicine Physician · Crowley, LA

NPI 1982355152 · NPPES record last updated Jan 11, 2022

Key facts

NPI
1982355152
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
LAFAYETTE HEALTH VENTURES, INC
Practice address
1325 Wright Ave Ste H
Crowley, LA 70526-2226
Phone
(337) 785-5440
Fax
(337) 785-5441
NPI assigned
Jan 10, 2022
Organization subpart
Yes
Parent organization (as reported)
LAFAYETTE HEALTH VENTURES, INC

Authorized official

Name
Kimberly Dooley
Title
Coo
Phone
(337) 571-1394

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 23

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

Practitioners 29

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

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041105000263 LA Part B Supplier - Clinic/Group Practice 9335043074 Receives reassigned benefits from 428 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Pediatric Assoc of Lafa (24 organizations share this tax ID)
Part of
Pediatric Assoc of Lafa

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1325 Wright Ave Ste H
Crowley, LA 70526-2226

Mailing address

PO Box 919229
Dallas, TX 75391-9229
Phone (337) 289-8944

Other names

  • Acadia General Hospital Physician Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 11, 2022.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1982355152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753919229",
            "telephone_number": "337-289-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE STE H",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-785-5440",
            "fax_number": "337-785-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE HEALTH VENTURES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAFAYETTE HEALTH VENTURES, INC",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "337-571-1394"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia General Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acadia General Hospital Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crowley, LA

All providers in Crowley, LA · Family Medicine Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.