| University Medical Center | |
|
2390 W Congress St Lafayette LA 70506-4205 | |
| (337) 261-6000 | |
| (337) 261-6003 |
| Full Name | University Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2390 W Congress St, Lafayette, Louisiana |
| Authorized Official Name and Position | Donald R Smithburg (VICE CHANCELLOR CEO) |
| Authorized Official Contact | 2259221474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Medical Center 2390 W Congress St Lafayette LA 70506-4205 Ph: (337) 261-6000 | University Medical Center 2390 W Congress St Lafayette LA 70506-4205 Ph: (337) 261-6000 |
| NPI Number | 1750419453 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750419453 | NPI | - | NPPES |
| 1416746 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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