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Contact Information

ACADIANA SURGICAL CLINIC INC
3975 I 49 S SERVICE RD
SUITE 105
OPELOUSAS, LA70570-0775
 Phone: 337-948-7680
 Fax: 337-948-1143
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ACADIANA SURGICAL CLINIC INC

NPI # 1821089665
LBN Legal business name ACADIANA SURGICAL CLINIC INC
Authorized official GLYNN GRANGER - (OWNER/MD)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2005
Last updated 11/09/2011 - About 15 years ago
Identifiers
LA Medicaid 1457221
LA Other CN6611 RAILROAD MEDICARE
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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