GULF COAST AFTER HOURS MANDEVILLE – NPI #1669657037
Clinic/Center

GULF COAST AFTER HOURS MANDEVILLE is an AHC clinic located in MANDEVILLE, LA. NPPES has assigned the NPI number 1669657037 to GULF COAST AFTER HOURS MANDEVILLE on January 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GULF COAST AFTER HOURS MANDEVILLE” is a dba name, the actual legal business name for this organization is GULF COAST OUTPATIENT CENTERS LLC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 18 years ago on Jun 23, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GULF COAST AFTER HOURS MANDEVILLE below.

NPI Profile for
GULF COAST OUTPATIENT CENTERS LLC

NPI Number
1669657037
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GULF COAST OUTPATIENT CENTERS LLC
Doing Business As (dba): GULF COAST AFTER HOURS MANDEVILLE
Primary location
2810 E CAUSEWAY APPROACH
MANDEVILLE, LA 70448-3502
Phone: (985) 624-2845 Fax: (985) 624-2948
Mailing address
3510 N CAUSEWAY BLVD
STE 300
METAIRIE, LA 70002-3531
Phone: (504) 831-3112 Fax: (504) 831-3778
Organization Subpart
No
Authorized Official
KEITH LEBLANC
CEO
Phone: (504) 831-3112
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.