INTERNAL MEDICINE CLINIC – NPI #1982002911
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.

INTERNAL MEDICINE CLINIC is a provider located in MONROE, LA. NPPES has assigned the NPI number 1982002911 to INTERNAL MEDICINE CLINIC on December 08, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INTERNAL MEDICINE CLINIC” is a dba name, the actual legal business name for this organization is AFFINITY HEALTH GROUP, LLC. 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 9 years ago on Apr 27, 2017. 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 INTERNAL MEDICINE CLINIC below.

NPI Profile for
AFFINITY HEALTH GROUP, LLC

NPI Number
1982002911
Enumeration Date

(more than 11 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
AFFINITY HEALTH GROUP, LLC
Doing Business As (dba): INTERNAL MEDICINE CLINIC
Primary location
2516 BROADMOOR BLVD
MONROE, LA 71201-2988
Phone: (318) 998-0353 Fax: (318) 998-0357
Mailing address
130 DESIARD ST
SUITE 355
MONROE, LA 71201-7319
Phone: (318) 807-7875 Fax: (318) 812-6603
Organization Subpart
No
Authorized Official
MIKE BREARD
EXECUTIVE VICE PRESIDENT
Phone: (318) 361-0900
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
LA 013918

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.