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Contact Information

ADH-PORT VINCENT, LLC
18335 LA HIGHWAY 42
PORT VINCENT, LA70726-8025
 Phone: 225-698-9510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADH-PORT VINCENT, LLC

NPI Number 1497006522
LBN Legal business name ADH-PORT VINCENT, LLC
Authorized official CARLOS SUADI - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2012
Last updated 01/29/2013 - About 13 years ago
Identifiers
LA License # 4818
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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