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Contact Information

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
604 N ACADIA RD STE 100
THIBODAUX, LA70301-4897
 Phone: 985-447-9045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

NPI # 1447854294
LBN Legal business name THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Authorized official KIM BOUDREAUX - (CONTRACT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/23/2020
Last updated 03/06/2025 - More than a year 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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