Organization
YOUR FAMILY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDISON L ONG MD (OWNER)
(337) 276-5408
Entity
Organization
Contact information
Practice address
2412 PALMLAND BLVD, NEW IBERIA, LA 70563-2913
(337) 519-4740
Mailing address
303 BAYSIDE RD, JEANERETTE, LA 70544-5801
(337) 276-5408
(337) 276-5452
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
12332R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12332R
MEDICAL LICENSE
LA
05
—
1530301
—
LA
01
—
1598794406
PROVIDER NPI
LA
Enumeration date
06/16/2009
Last updated
06/16/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us