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Contact Information

ASSURED MEDICAL GROUP, INC
200 AMERICAN LEGION DR
RAYNE, LA70578-5826
 Phone: 337-654-5871
 Fax: 225-208-1415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for ASSURED MEDICAL GROUP, INC

NPI Number 1780827717
LBN Legal business name ASSURED MEDICAL GROUP, INC
Authorized official THOMAS EWING - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2009
Last updated 04/07/2009 - About 17 years ago
Identifiers
LA License # PCA 15206
LA Medicaid 03 CHILDREN CHOICE
LA Medicaid 06 NOW PROFESSIONAL
LA Medicaid 24 PERSONAL CARE SER
LA Medicaid 70 EPSDT
LA Medicaid 73 SOCIAL WORKER
LA Medicaid 82 PCA WAIVER
LA Medicaid 89 SIL WAIVER
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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