Healthcare Provider Details

I. General information

NPI: 1962835942
Provider Name (Legal Business Name): HEALTHREMEDE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3235 PERKINS RD
BATON ROUGE LA
70808-2256
US

IV. Provider business mailing address

3235 PERKINS RD
BATON ROUGE LA
70808-2256
US

V. Phone/Fax

Practice location:
  • Phone: 225-387-3030
  • Fax:
Mailing address:
  • Phone: 225-387-3030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRAD FRICK
Title or Position: OWNER
Credential: P.A.
Phone: 225-387-3030