Provider Demographics
NPI:1235759275
Name:VIEMED CLINICAL SERVICES, LLC
Entity Type:Organization
Organization Name:VIEMED CLINICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:GARRETT
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-255-7438
Mailing Address - Street 1:625 E KALISTE SALOOM RD STE 400-N
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-2540
Mailing Address - Country:US
Mailing Address - Phone:833-452-0220
Mailing Address - Fax:800-398-9547
Practice Address - Street 1:625 E KALISTE SALOOM RD STE 400-N
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-2540
Practice Address - Country:US
Practice Address - Phone:337-504-3802
Practice Address - Fax:337-504-4409
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIEMED INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-20
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care