Provider Demographics
NPI:1073576823
Name:POINTE COUPEE BETTER ACCESS COMMUNITY HEALTHCARE
Entity Type:Organization
Organization Name:POINTE COUPEE BETTER ACCESS COMMUNITY HEALTHCARE
Other - Org Name:BACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-638-8900
Mailing Address - Street 1:PO BOX 979
Mailing Address - Street 2:
Mailing Address - City:NEW ROADS
Mailing Address - State:LA
Mailing Address - Zip Code:70760
Mailing Address - Country:US
Mailing Address - Phone:225-638-8900
Mailing Address - Fax:225-638-8833
Practice Address - Street 1:230 ROBERTS DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760
Practice Address - Country:US
Practice Address - Phone:225-638-8900
Practice Address - Fax:225-638-8833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1447854Medicaid
5696630001Medicare NSC
LA1447854Medicaid