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Contact Information

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
602 N ACADIA RD
THIBODAUX, LA70301-4847
 Phone: 985-493-4544
 Fax: 985-544-9253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

NPI Number 1457684995
LBN Legal business name THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Authorized official KIM BOUDREAUX - (DIRECTOR OF CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2009
Last updated 09/05/2023 - About 3 years ago
Identifiers
LA Medicaid 1804410
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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