Provider Demographics
NPI:1396836045
Name:VERMILION FAMILY CARE
Entity Type:Organization
Organization Name:VERMILION FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LINK
Authorized Official - Last Name:SILAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-893-9871
Mailing Address - Street 1:121 TIVOLI STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-4039
Mailing Address - Country:US
Mailing Address - Phone:337-893-9871
Mailing Address - Fax:337-893-0646
Practice Address - Street 1:121 TIVOLI STREET
Practice Address - Street 2:SUITE A
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4039
Practice Address - Country:US
Practice Address - Phone:337-893-9871
Practice Address - Fax:337-893-0646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1694347Medicaid
LA1694347Medicaid