Organization
BREAUX BRIDGE MM LLC
Active
Parent organization
1750638391
Other names
MINUTE MED CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
1750638391
Authorized official
MS. ASHLEY HILL (BILLING MANAGER)
(337) 781-1630
Entity
Organization
Contact information
Practice address
1451 E BRIDGE STREET, BREAUX BRIDGE, LA 70517
(337) 456-6851
(337) 504-4798
Mailing address
2851 JOHNSTON ST, PMB 299, LAFAYETTE, LA 70503-3243
(337) 456-6851
(337) 504-4798
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490725
—
LA
Enumeration date
08/28/2016
Last updated
08/28/2016
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