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NPI Code Detail

MEDICARE: TRI PARISH MEDICAL SERVICES INC

MEDICARE: TRI PARISH MEDICAL SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1295088326
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI PARISH MEDICAL SERVICES INC
Provider Business Mailing Address
First Line : 17020 LINKWOOD COURT
Second Line : APT 521
City : BATON ROUGE
State : LA
Zip : 70810
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2900 WESTFORK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70827-0010
Country : US
Telephone Number : 225-250-8411
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. BRANDON C OVERTON SR.
Credential :
Telephone Number : 225-250-8411
Provider Enumeration Date : 10/26/2012
Last Update Date : 10/26/2012

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Directions to “TRI PARISH MEDICAL SERVICES INC ” Practice Location

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