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Contact Information

MONTGOMERY CLINIC LLC
641 ROWENA ST
MONTGOMERY, LA71454
 Phone: 318-354-9348
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MONTGOMERY CLINIC LLC

NPI Number 1730320946
LBN Legal business name MONTGOMERY CLINIC LLC
Authorized official MARY LONG - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2009
Last updated 03/18/2009 - About 17 years ago
Identifiers
LA License # 022285
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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