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Contact Information

COMMUNITY CARE CENTER OF ST MARTINVILLE LLC
1710 SMEDE HWY
SAINT MARTINVILLE, LA70582
 Phone: 337-394-6044
 Fax: 337-394-7044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for COMMUNITY CARE CENTER OF ST MARTINVILLE LLC

NPI # 1093773301
LBN Legal business name COMMUNITY CARE CENTER OF ST MARTINVILLE LLC
Authorized official TONI PARKINSON - (AUTHORIZED REPRESENTATIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2006
Last updated 11/30/2024 - More than a year ago
Identifiers
LA License # 783
LA Medicaid 1521442
LA Other 31058 BLUE CROSS BLUE SHIELD
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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