Organization
CHILDREN HEALTH CARE CLINIC OF ACADIANA
Active
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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