# ABROM KAPLAN MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Care Clinic Of Kaplan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871610204
- **Authorized official:** JACKIE GASPARD (BUSINESS OFFICE SUPERVISOR)
- **Authorized official phone:** (337) 643-5281

## Contact information

- **Practice address:** 1402 W 8TH ST, KAPLAN, LA 70548-2918
- **Practice address phone:** (337) 643-6219
- **Mailing address:** 1402 W 8TH ST, KAPLAN, LA 70548-2918
- **Mailing address phone:** (337) 643-6219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 149-A | LA | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04792 | PCC-BCBS | LA |
| 05 | — | 1795941 | — | LA |