THIBODAUX REGIONAL WELLNESS CLINIC – NPI #1316604762
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

THIBODAUX REGIONAL WELLNESS CLINIC is a provider located in THIBODAUX, LA. NPPES has assigned the NPI number 1316604762 to THIBODAUX REGIONAL WELLNESS CLINIC on November 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THIBODAUX REGIONAL WELLNESS CLINIC” is a dba name, the actual legal business name for this organization is THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 3 years ago on Sep 05, 2023. 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 THIBODAUX REGIONAL WELLNESS CLINIC below.

NPI Profile for
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

NPI Number
1316604762
Enumeration Date

(more than 4 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
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Doing Business As (dba): THIBODAUX REGIONAL WELLNESS CLINIC
Primary location
726 N. ACADIA ROAD
EDUCATION SUITE
THIBODAUX, LA 70301
Phone: (985) 493-4004 Fax:
Mailing address
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone: (985) 493-4907 Fax: (985) 449-2585
Organization Subpart
No
Authorized Official
KIM BOUDREAUX
CONTRACT MANAGER
Phone: (985) 493-4907
Updated
Certification Date
Sep 05, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207R00000X
- Internal Medicine (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.