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Thibodaux Regional Network Development Corporation

Internal Medicine, Hematology & Oncology in Thibodaux, LA. Organization (NPI-2).

NPI number1295069490
StatusActive
Last updated in NPPESJun 3, 2025

Details

NPI
1295069490
Entity type
Organization (NPI-2)
Legal business name
Thibodaux Regional Network Development Corporation
Organization subpart
No
Enumeration date
Sep 22, 2009
Certification date
Jun 3, 2025
Last updated
Jun 3, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RH0003X Internal Medicine, Hematology & Oncology––Yes
2085R0001X ––

Other names

  • Thibodaux Regional Oncology Clinic (Doing Business As)
  • Thibodaux Regional Cancer Institute (Doing Business As)

Practice location

608 N Acadia Rd
Fl 3
Thibodaux, LA 70301-4847

Phone 985-493-4346 · Fax 985-449-2560

Mailing address

Po Box 5478
Thibodaux, LA 70302-5478

Phone 985-493-4511 · Fax 985-449-2535

Authorized official

Kim Legendre Boudreaux
Director Of Contracting
9854934907

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Other Hematology & Oncology Physician providers in Thibodaux, LA

All 5 Hematology & Oncology Physician providers in Thibodaux · All 1,515 providers in Thibodaux

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