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NPI Code Detail

MEDICARE: ACADIA EMERGENCY GROUP LLC

MEDICARE: ACADIA EMERGENCY GROUP LLC
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
1363L00000XNurse Practitioner
2363AM0700XMedical Physician Assistant
3207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629173067
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACADIA EMERGENCY GROUP LLC
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line : STE 201
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number :
Provider Business Practice Location Address
First Line : 1305 CROWLEY RAYNE HWY
Second Line :
City : CROWLEY
State : LA
Zip : 70526-8202
Country : US
Telephone Number : 800-893-9698
Fax Number :
Authorized Official
Title or Position : CEO
Name : WILLIAM CLIFF SCHUMACHER
Credential : MD
Telephone Number : 800-893-9698
Provider Enumeration Date : 09/13/2006
Last Update Date : 10/09/2007

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Directions to “ACADIA EMERGENCY GROUP LLC ” Practice Location

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