Organization
CHILDREN HEALTH CARE CLINIC OF ACADIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELVINA CLAY (CEO)
(337) 237-3501
Entity
Organization
Contact information
Practice address
850 N PIERCE ST, LAFAYETTE, LA 70501-2848
(337) 237-3501
(337) 233-9566
Mailing address
PO BOX 90408, LAFAYETTE, LA 70509-0408
(337) 237-3501
(337) 233-9566
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1151625
—
LA
05
—
1443522
—
LA
05
—
1498882
—
LA
05
—
1939994
—
LA
05
—
1944131
—
LA
Enumeration date
02/21/2007
Last updated
08/22/2020
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