Organization
AMBASSADOR PHYSICIAN SERVICES LLC
Active
Other names
SOUTHWEST MEDICAL CENTER HOSPITALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA C FALK (VP OF CONTRACTING)
(337) 609-1221
Entity
Organization
Contact information
Practice address
2810 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-5906
(800) 893-9698
(337) 262-7313
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449032
—
LA
01
—
DF5447
RR MCR
LA
Enumeration date
08/29/2006
Last updated
03/23/2022
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