YOUR FAMILY CARE CENTER LLC


Address: 2412 Palmland Blvd, New Iberia, LA 70563-2913
Phone: 3375194740

YOUR FAMILY CARE CENTER LLC (NPI# 1063649143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063649143
Entity Type Organization
Organization Name YOUR FAMILY CARE CENTER LLC
Practice Address 2412 Palmland Blvd
New Iberia
LA 70563-2913
Mailing Address 303 Bayside Rd
Jeanerette
LA 70544-5801
Practice Telephone 3375194740
Mailing Telephone 3372765408
Mailing Fax Number 3372765452
Enumeration Date 2009-06-16
Last Update Date 2009-06-16
Authorized Official Name DR. EDISON L ONG (OWNER)
Authorized Official Telephone 3372765408
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
12332R LA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1530301 05
LA MEDICAL LICENSE 12332R 01
LA PROVIDER NPI 1598794406 01

Office Location

Street Address 2412 PALMLAND BLVD
City NEW IBERIA
State LA
Zip Code 70563-2913

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1972654986 Raymond F Schneider Memorial Clinic, LLC Clinic/Center 1302 Ed Broussard Road, New Iberia, LA 70563 2007-01-16
1619937042 Iberia Familymd, LLC Clinic/Center 2312 E Main St, Suite B, New Iberia, LA 70560-4064 2006-03-28
1639147085 Iberia General Hospital & Medical Center Clinic/Center 2308 E Main St, New Iberia, LA 70560-4032 2006-03-10

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Competitor

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City NEW IBERIA
Zip Code 70563

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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