Chitimacha Tribe Of Louisiana
Clinic/Center in Charenton, LA. Organization (NPI-2).
NPI number1154477909
StatusActive
Last updated in NPPESJun 20, 2013
Details
- NPI
- 1154477909
- Entity type
- Organization (NPI-2)
- Legal business name
- Chitimacha Tribe Of Louisiana
- Organization subpart
- Yes
- Enumeration date
- Jan 26, 2007
- Last updated
- Jun 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 15134R | LA | Yes |
Practice location
3231 Chitimacha TrailCharenton, LA 70523-0661
Phone 337-923-9955 · Fax 337-923-6848
Mailing address
Po Box 640Charenton, LA 70523-0640
Phone 337-923-9955 · Fax 337-923-6848
Authorized official
Tricia Lynn Mora
Director Health And Human Services
3379239955
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