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Contact Information

MAIN STREET PHYSICIAN SERVICES LLC
2315 E MAIN ST
NEW IBERIA, LA70560-4031
 Phone: 800-893-9698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Rehabilitation

364SR0400X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MAIN STREET PHYSICIAN SERVICES LLC

NPI # 1396150785
LBN Legal business name MAIN STREET PHYSICIAN SERVICES LLC
Authorized official LISHA FALK - (VP OF CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2014
Last updated 03/23/2022 - About 4 years ago
Identifiers
LA Medicaid 2379437
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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