| Bayou Healthcare Services, Llc | |
|
108 E 11th St. Thibodaux LA 70301 | |
| (985) 228-6223 | |
| Not Available |
| Full Name | Bayou Healthcare Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 E 11th St., Thibodaux, Louisiana |
| Authorized Official Name and Position | Brittany Trosclair Mire (OWNER) |
| Authorized Official Contact | 9852286223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayou Healthcare Services, Llc 213 Saint Mary St Ste 218 Thibodaux LA 70301-2634 Ph: () - | Bayou Healthcare Services, Llc 108 E 11th St. Thibodaux LA 70301 Ph: (985) 228-6223 |
| NPI Number | 1033999040 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 11/30/2024 |
| Medicare PECOS PAC ID | 4385179589 |
|---|---|
| Medicare Enrollment ID | O20241125003291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033999040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Brittany Mire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093251472 PECOS PAC ID: 2668757469 Enrollment ID: I20170317000804 |
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