; NPI #1669047601

Contact Information

GUSTAVIA BRADFORD

6240 BELCHER OIL CITY RD
BELCHER, LA 71004-7100

Phone: 318-426-6976
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Bus	347B00000X

Indicates primary specialty

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NPI Profile & details for

NPI Number 1669047601

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 05/21/2021

Last updated 05/24/2021 - About 5 years ago

Identifiers

LA	License #	005971290
LA	Medicaid	86-3750549

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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Specialty

Bus

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