THIBODAUX REGIONAL CARDIOLOGY CLINIC – NPI #1609579234
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

THIBODAUX REGIONAL CARDIOLOGY CLINIC is a provider located in LABADIEVILLE, LA. NPPES has assigned the NPI number 1609579234 to THIBODAUX REGIONAL CARDIOLOGY CLINIC on March 23, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THIBODAUX REGIONAL CARDIOLOGY CLINIC” is a dba name, the actual legal business name for this organization is THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

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 CARDIOLOGY CLINIC below.

NPI Profile for
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

NPI Number
1609579234
Enumeration Date

(more than 3 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 CARDIOLOGY CLINIC
Primary location
2595 HIGHWAY 1
LABADIEVILLE, LA 70372
Phone: (985) 493-4993 Fax: (985) 493-4994
Mailing address
602 N ACADIA RD
CONTRACT MANAGEMENT
THIBODAUX, LA 70301
Phone: (985) 493-4907 Fax: (985) 449-2585
Organization Subpart
No
Authorized Official
KIM BOUDREAUX
DIRECTOR OF CONTRACTING
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
207RI0011X
- Internal Medicine / Interventional Cardiology

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.