ACCESSIBLE WALK-IN CLINIC


Address: 1206 J W Davis Dr Ste 102, Hammond, LA 70403-5953
Phone: 9859567370

ACCESSIBLE WALK-IN CLINIC (NPI# 1063983799) 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) 1063983799
Entity Type Organization
Organization Name ACCESSIBLE WALK-IN CLINIC
Practice Address 1206 J W Davis Dr Ste 102
Hammond
LA 70403-5953
Practice Telephone 9859567370
Practice Fax Number 9859567371
Mailing Telephone 9859567370
Mailing Fax Number 9859567371
Enumeration Date 2018-12-06
Last Update Date 2018-12-06
Authorized Official Name DICKSON OSANU (CEO)
Authorized Official Telephone 4042269131
Is Organization Subpart Y
Parent Organization Name EPIPHANY HEALTHCARE SYSTEM, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 1124202973 05
GA HOME CARE 1124202973 01

Office Location

Street Address 1206 J W DAVIS DR STE 102
City HAMMOND
State LA
Zip Code 70403-5953

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1235616194 Pathways Addiction Recovery, LLC Clinic/Center 3801 Houma Blvd Ste 100, Metairie, LA 70006-4185 2018-07-24
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Competitor

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City HAMMOND
Zip Code 70403

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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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