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Contact Information

INNOVATIVE COMMUNITY ACTION NETWORK
1108 DELLWOOD DR STE A
RICHWOOD, LA71202-6738
 Phone: 318-280-6110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for INNOVATIVE COMMUNITY ACTION NETWORK

NPI # 1992073894
LBN Legal business name INNOVATIVE COMMUNITY ACTION NETWORK
Authorized official CHRISTOPHER HANDY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2011
Last updated 12/06/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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