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Contact Information

NEW LIFE MEDICAL CENTER
50057 HWY 51 NORTH
TICKFAW, LA70466
 Phone: 985-542-7392
 Fax: 985-542-7393
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NEW LIFE MEDICAL CENTER

NPI Number 1073848354
LBN Legal business name NEW LIFE MEDICAL CENTER
Authorized official MIRIAM STACEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2009
Last updated 10/05/2009 - About 10 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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